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A nurse in a clinic is caring for a client who has been on long-term NSAID therapy
to treat pericarditis. Which of the following laboratory findings should the nurse
report to the provider?
A. Platelets 100,000/mm3
B. Serum glucose 110 mg/dL
C. Serum creatinine 0.7 mg/dL
D. Amino alanine transferase (ALT) 30 IU/L ---------CORRECT ANSWER-----------------
A. Platelets 100,000/mm3
A nurse is assessing a client who has splinter hemorrhages of the nail beds and
reports a fever. The nurse should identify these findings as manifestations of
which of the following disorders?
A. Infective endocarditis
B. Pericarditis
C. Myocarditis
,D. Rheumatic endocarditis ---------CORRECT ANSWER-----------------A. Infective
endocarditis
A nurse is admitting a client who has suspected rheumatic endocarditis. The nurse
should expect a prescription for which of the following laboratory tests to assist in
confirmation of this diagnosis?
A. Arterial blood gases
B. Serum albumin
C. Liver enzymes
D. Throat culture ---------CORRECT ANSWER-----------------D. Throat culture
A nurse is caring for a client who has chronic venous insufficiency and a
prescription for thigh-high compression stockings. Which of the following actions
should the nurse take?
A. Elevate the client's legs for 10 min, tow to three times daily while wearing
stockings
B. Apply the stockings in the morning upon awakening and before getting out of
bed
C. Roll the stockings down to the knees to relieve discomfort on the legs
D. Remove the stockings while out of bed for 1 hr, four times a day, to a ---------
CORRECT ANSWER-----------------B. Apply the stockings in the morning upon
awakening and before getting out of bed
,A nurse is assessing a client who has chronic peripheral arterial disease (PAD).
Which of he following findings should the nurse expect?
A. Edema around the ankles and feet
B. Ulceration around the medial malleoli
C. Scaling eczema of the lower legs with stasis dermatitis
D. Pallor on elevation of the limbs, and rubor when the limbs are dependent -------
--CORRECT ANSWER-----------------D. Pallor on elevation of the limbs, and rubor
when the limbs are dependent
A nurse is teaching a client who has a new diagnosis of severe peripheral arterial
disease. Which of the following instructions should the nurse include?
A. Wear tightly-fitted insulated socks with shoes when going outside
B. Elevate both legs above the heart when resting
C. Apply a heating pad to both legs for comfort
D. Place both legs in dependent position while sleeping ---------CORRECT ANSWER-
----------------D. Place both legs in dependent position while sleeping
A nurse is caring for a client in a long-term care facility who has become weak,
confused, and experienced dizziness when standing. The client's temperature is
38.3º C (100.9º F), pulse 92/min, respirations 2-/min, and blood pressure 108/60
mm Hg. Which of the following actions should the nurse take?
, A. Initiate fluid restrictions to limit intake
B. Check for peripheral edema
C. Encourage the client to ambulate to promote oxygenation
D. Monitor for Orthostatic hypotension ---------CORRECT ANSWER-----------------D.
Monitor for others static hypotension
A nurse is caring for a client who has a blood sodium level 133 mEq/L and blood
potassium level 3.4 mEq/L. The nurse should recognize that which of the
following treatments can result in these laboratory findings?
A. Three tap water enemas
B. 0.9% sodium chloride solution IV at 50 mL/hr
C. 5% dextrose with 0.45% sodium chloride solution with 20 mEq of K+ IV at 80
mL/hr
D. Antibiotic therapy ---------CORRECT ANSWER-----------------A. Three tap water
enemas
A nurse is caring for a client who has a blood potassium 5.4 mEq/L. The nurse
should assess for which of the following manifestations?
A. ECG changes
B. Constipation
C. Polyuria
D. Paresthesia ---------CORRECT ANSWER-----------------A. ECG changes