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A nurse is caring for a client who is experiencing heart palpitations. Which of the
following interventions should the nurse include in the plan of care for this
client?
Select All that Apply - ✔✔Answer:
- Have the client bear down as if for a bowel movement
- Ask the client to cough forcefully
A nurse is assisting in caring for a client who has pericarditis. Based on the
assessment findings, which of the following lab tests should the nurse anticipate
will have abnormal results?
Select All that Apply - ✔✔Answer:
- C reactive protein (CRP)
- Erythrocyte sedimentation rate (ESR)
- White blood cell count (WBC)
A nurse is reinforcing discharge teaching to a client who has cardiomyopathy.
Which of the following should the nurse include in the teaching?
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, Select all that Apply - ✔✔Answer:
- Restrict fluids to approximately 2L each day
- Limit dietary intake of sodium
- Check weight every morning
- Report ankle edema
A nurse is collecting data from a client who had valvular dysfunction. Which of
the following client statements should indicate to the nurse that this condition
is affecting the client's ability to perform activities of daily living (ADLs)? -
✔✔Answer:
"I get short of breath when I make my bed."
A nurse is assisting in caring for a client who has coronary artery disease that
has progressed to an ST elevation myocardial infarction (STEMI). Which of the
following procedures should the nurse anticipate for this client? - ✔✔Answer:
Heart catheterization and percutaneous intervention
A nurse is collecting data from a client's ECG strip and identifies the following
information:
HR: 75 bpm
Rhythm: Regular
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