VERIFIED ANSWERS 2024-2025
Which of the following types of drugs selectively break down fibrin threads
present in formed blood clots?
a. anticoagulant
b. hemolytic
c. fibrinolytic
d. antipyretic
c. fibrinolytic
The nurse is admitting a patient who is complaining of chest pain to the
emergency department. Which information collected by the nurse suggests that
the patient is having an acute coronary syndrome?
a. the pain increases with deep breathing
b. the pain has persisted longer than 30 minutes
c. the pain is relieved after the patient takes nitroglycerin
d. the pain worsens when the patient raises their arms
b. the pain has persisted longer than 30 minutes
A sedentary, obese, middle-aged patient is recovering from surgery to remove an
embolus in the right iliac artery. The nurse should develop a discharge plan with
the patient that will focus on participating in which of the following? select all
that apply.
,a. strength training
b. stress management
c. aerobic activity
d. weight control
e. wearing supportive athletic shoes
c. aerobic activity
d. weight control
The nurse discovers a diabetic ulcer in a patient diagnosed with peripheral arterial
disease, the nurse is assessing patients pain level. The nurse should expect that
the patient will report:
a. no pain
b. severe pain
c. moderate level of discomfort
d. minimal level of discomfort
a. no pain
The nurse is reviewing the laboratory profile of a patient with hypovolemic shock.
What laboratory value would the nurse anticipate?
a. a pH of 7.51
b. lactate 0.4 mmil/L
c. PaCo2 49 mm Hg
d. PaO2 106 mm Hg
,c. PaCo2 49 mm Hg
A patient has chest pain which is rated 8 on a 10-point scale visual analog scale.
The 12-lead electrocardiogram reveals ST elevation in the inferior leads and
troponin levels are elevated. What is the nurses first priority?
a. provide patient education on medications and diet
b. limit visitation by family and friends
c. reduce pain and myocardial oxygen demand
d. monitor daily weights and urine output
c. reduce pain and myocardial oxygen demand
ECG and troponin levels indicate MI thus reduction of pain and oxygen demand
are crucial
A patient is admitted to the emergency department with severe abdominal pain. A
radiograph reveals a large abdominal aortic aneurysm. The primary goal currently
is to:
a. prepare the patient for emergency surgery
b. manage pain
c. maintain circulation
d. teach postoperative breathing exercises
a. prepare the patient for emergency surgery
, A nurse notices a pulsation in the upper abdomen slightly to the left of the midline
between the xiphoid process and the umbilicus. A detectable aneurysm is 7 cm in
diameter. Patient is complaining of steady and gnawing pain that is unaffected by
movement. What is the nurses first priority?
a. auscultate for a bruit and palpate the mass
b. place heating pad over the mass to promote circulation
c. initiate IV therapy of normal saline to increase blood volume thus decreasing
size of the aneurysm
d. auscultate for a bruit and notify the provider
d. auscultate for a bruit and notify the provider
A patient with cirrhosis begins to develop ascites. Spironolactone is prescribed to
treat the ascites. The nurse should monitor the patient closely for which drug-
related adverse effect?
a. hyperkalemia
b. irregular pulse
c. constipation
d. dysuria
a. hyperkalemia
it is a potassium sparring diuretic and hyperkalemia is an expected side effect
A nurse is caring for a patient following a below-the-knee amputation. Which
interventions should the nurse institute to prevent shrinkage? select all that apply
a. wrap the residual limb using "figure eight"
b. perform range of motion exercises