COMPLETE TEST BANK MEDICAL-SURGICAL NURSING CONCEPTS FOR INTERPROFESSIONAL COLLABORATIVE CARE 9TH EDITION BY IGNATAVICIUS|WORKMAN EXAM 2025 LATEST NEWEST UPDATE WITH ACTUAL QUESTIONS AND DETAILED VERIFIED ANSWERS WITH RATIONALES (100% CORRECT) //BRAND NE

COMPLETE TEST BANK MEDICAL-SURGICAL NURSING CONCEPTS FOR INTERPROFESSIONAL COLLABORATIVE CARE 9TH EDITION BY IGNATAVICIUS|WORKMAN EXAM 2025 LATEST NEWEST UPDATE WITH ACTUAL QUESTIONS AND DETAILED VERIFIED ANSWERS WITH RATIONALES (100% CORRECT) //BRAND NEW!! /ALREADY GRADED A+ WITH GUARANTEED SUCCESS AFTER DOWNLOAD (ALL YOU NEED TO PASS YOUR EXAMS . A nurse is caring for a client with a history of renal insufficiency who is scheduled for a cardiac catheterization. Which actions should the nurse take prior to the catheterization? (Select all that apply.) a. Assess for allergies to iodine. Administer intravenous fluids. Assess blood urea nitrogen (BUN) and creatinine results. Insert a Foley catheter. Administer a prophylactic antibiotic. Insert a central venous catheter. ANS: A, B, C If the client has kidney disease (as indicated by BUN and creatinine results), fluids and Mucomyst may be given 12 to 24 hours before the procedure for renal protection. The client should be assessed for allergies toiodine, including shellfish; the contrast medium used during the catheterization contains iodine. A Foley catheter and central venous catheter are not required for the procedure and would only increase the clients risk for infection. Prophylactic antibiotics are not administered prior to a cardiac catheterization. DIF: Applying/Application REF: 657 KEY: Assessment/diagnostic examination MSC: Integrated Process: Nursing Process: Implementation NOT: Client Needs Category: Physiological Integrity: Reduction of Risk Potential 2. An emergency room nurse assesses a female client. Which assessment findings should alert the nurse to request a prescription for an electrocardiogram? (Select all that apply.) a. Hypertension Fatigue despite adequate rest Indigestion Abdominal pain Shortness of breath ANS: B, C, E Women may not have chest pain with myocardial infarction, but may feel discomfort or indigestion. They often present with a triad of symptomsindigestion or feeling of abdominal fullness, feeling of chronic fatigue despite adequate rest, and feeling unable to catch their breath. Frequently, women are not diagnosed and therefore are not treated adequately. Hypertension and abdominal pain are not associated with acute coronary syndrome. DIF: Applying/Application REF: 649 KEY: Cardiac electrical conduction MSC: Integrated Process: Nursing Process: Assessment NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation 3. A nurse assesses a client who is recovering after a coronary catheterization. Which assessment findings in the first few hours after the procedure require immediate action by the nurse? (Select all that apply.) a. Blood pressure of 140/88 mm Hg   Serum potassium of 2.9 mEq/L Warmth and redness at the site Expanding groin hematoma Rhythm changes on the cardiac monitor ANS: B, D, E In the first few hours postprocedure, the nurse monitors for complications such as bleeding from the insertion site, hypotension, acute closure of the vessel, dye reaction, hypokalemia, and dysrhythmias. The clients blood pressure is slightly elevated but does not need immediate action. Warmth and redness at the site would indicate an infection, but this would not be present in the first few hours. DIF: Applying/Application REF: 657 KEY: Assessment/diagnostic examination MSC: Integrated Process: Nursing Process: Assessment NOT: Client Needs Category: Physiological Integrity: Reduction of Risk Potential 4. A nurse reviews a clients laboratory results. Which findings should alert the nurse to the possibility of atherosclerosis? (Select all that apply.) a. Total cholesterol: 280 mg/dL High-density lipoprotein cholesterol: 50 mg/dL Triglycerides: 200 mg/dL Serum albumin: 4 g/dL Low-density lipoprotein cholesterol: 160 mg/dL ANS: A, C, E A lipid panel is often used to screen for cardiovascular risk. Total cholesterol, triglycerides, and low-density lipoprotein cholesterol levels are all high, indicating higher risk for cardiovascular disease. High-density lipoprotein cholesterol is within the normal range for both males and females. Serum albumin is not assessed for atherosclerosis. DIF: Applying/Application REF: 650 KEY: Assessment/diagnostic examination| health screening MSC: Integrated Process: Nursing Process: Assessment NOT: Client Needs Category: Physiological Integrity: Reduction of Risk Potential