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a--- correct precise answer ---
The nurse is providing postprocedure care to a client who had a
cardiac catheterization. The client begins to manifest signs and
symptoms associated with embolization. Which action should the
nurse take?
a. Notify the primary healthcare provider immediately
b. Apply a warm, moist compress to the incision site
c. Increase the intravenous fluid rate by 20 mL/hr
d. Monitor vital signs more frequently
b--- correct precise answer ---
,A nurse observes a window washer falling 25 feet (7.6 m) to the
ground. The nurse rushes to the scene and determines that the person
is in cardiopulmonary arrest. What should the nurse do first?
a. Feel for a pulse
b. Begin chest compressions
c. Leave to call for assistance
d. Perform the abdominal thrust maneuver
d--- correct precise answer ---
A client reports left-sided chest pain after playing racquetball. The
client is hospitalized and diagnosed with left pneumothorax. When
assessing the client's left chest area, the nurse expects to identify
which finding?
a. Dull sound on percussion
,b. Vocal fremitus on palpation
c. Rales with rhonchi on auscultation
d. Absence of breath sounds on auscultation
c--- correct precise answer ---
A client is admitted to the hospital with partial- and full-thickness
burns of the chest and face sustained while trying to extinguish a
brush fire. Which is the nurse's priority concern?
a. Loss of skin integrity caused by the burns
b. Potential infection as a result of the burn injury
c. Inadequate gas exchange caused by smoke inhalation
d. Decreased fluid volume because of the depth of the burns
, b--- correct precise answer ---
During the first 48 hours after a client has sustained a thermal injury,
which conditions should the nurse assess for?
a. Hypokalemia and hyponatremia
b. Hyperkalemia and hyponatremia
c. Hypokalemia and hypernatremia
d. Hyperkalemia and hypernatremia
a--- correct precise answer ---
A nurse is assessing a client's ECG reading. The client's atrial and
ventricular heart rates are equal at 88 beats per min. The PR interval
is 0.14 seconds, and the QRS width is 0.10 seconds. Rhythm is regular
with normal P waves and QRS complexes. How will the nurse
interpret this rhythm?