"You'll have to lie flat for several hours after the procedure."
"You'll receive medication to relax you before the procedure."
"You'll have to keep your leg straight after the procedure." ~CORRECT
ANSWER~✓✓A nurse is preparing a client for cardiac catheterization.
Which of the following pieces of information should the nurse give the
client before the procedure?
Potassium 2.8 mEq/L ~CORRECT ANSWER~✓✓A nurse is caring for a
client with heart failure whose telemetry reading displays a flattening of
the T wave. Which of the following laboratory results should the nurse
anticipate as the cause of this ECG change?
1. Palpate the blood pressure and inflate the cuff above the systolic
pressure.
2. Deflate the cuff slowly and listen for the first audible sounds.
3. Identify the first BP sounds audible on expiration and then on
inspiration.
4. Subtract the inspiratory pressure from the expiratory pressure.
5. Inspect for jugular venous distention and notify the provider.
~CORRECT ANSWER~✓✓A nurse is checking paradoxical blood pressure
of a client who has a possible cardiac tamponade. In what order should the
nurse complete the following steps?
,Elevate the affected leg ~CORRECT ANSWER~✓✓A nurse is caring for a
client who has femoral thrombophlebitis and a prescription for enoxaparin.
Which of the following actions should the nurse take?
Check to determine the packed RBCs are less than 1 week old.
Ask another nurse to check the packed RBCs' label against the medical
record.
Prime the transfusion tubing with 0.9% sodium chloride. ~CORRECT
ANSWER~✓✓A nurse is preparing to administer packed RBCs to a client
who is anemic. Which of the following actions should the nurse take?
Chicken breast and corn on the cob ~CORRECT ANSWER~✓✓A nurse is
teaching about a low-cholesterol diet to a client who had a MI. Which of
the following meal selections by the client indicates an understanding of
the teaching?
Peripheral vascular resistance increases ~CORRECT ANSWER~✓✓A nurse
is caring for an older adult client who had an acute MI. When assessing this
client, the nurse should identify that older adults are prone to
complications of MI from poor tissue perfusion because of which of the
following age-related factors?
, Sudden olgiuria ~CORRECT ANSWER~✓✓A nurse is assessing a client
who is receiving a transfusion of packed RBCs. Which of the following
findings should the nurse identify as an indication of an acute intravascular
hemolytic reaction?
Avoid MI injections. ~CORRECT ANSWER~✓✓A nurse is planning care
for a client who has acute myelogenous leukemia and a platelet count of
48000. Which of the following interventions should the nurse include?
Petechiae and ecchymosis ~CORRECT ANSWER~✓✓A nurse is assessing a
client for manifestations of aplastic anemia. Which of the following
findings should the nurse expect?
Turkey on whole-wheat bread ~CORRECT ANSWER~✓✓A nurse is
reviewing the menu selections of a client who has heart failure and
anticipates discharge to home the following day. Which of the following
lunch choices should the nurse identify as an indication that the client
understands his dietary instructions?
"Your body has a process called fibrinolysis that will eventually dissolve
the clot." ~CORRECT ANSWER~✓✓A nurse is caring for a client who is
undergoing conservative treatment for DVT. The client asks the nurse what
will happen to the clot. Which of the following responses should the nurse
make?
"You'll receive medication to relax you before the procedure."
"You'll have to keep your leg straight after the procedure." ~CORRECT
ANSWER~✓✓A nurse is preparing a client for cardiac catheterization.
Which of the following pieces of information should the nurse give the
client before the procedure?
Potassium 2.8 mEq/L ~CORRECT ANSWER~✓✓A nurse is caring for a
client with heart failure whose telemetry reading displays a flattening of
the T wave. Which of the following laboratory results should the nurse
anticipate as the cause of this ECG change?
1. Palpate the blood pressure and inflate the cuff above the systolic
pressure.
2. Deflate the cuff slowly and listen for the first audible sounds.
3. Identify the first BP sounds audible on expiration and then on
inspiration.
4. Subtract the inspiratory pressure from the expiratory pressure.
5. Inspect for jugular venous distention and notify the provider.
~CORRECT ANSWER~✓✓A nurse is checking paradoxical blood pressure
of a client who has a possible cardiac tamponade. In what order should the
nurse complete the following steps?
,Elevate the affected leg ~CORRECT ANSWER~✓✓A nurse is caring for a
client who has femoral thrombophlebitis and a prescription for enoxaparin.
Which of the following actions should the nurse take?
Check to determine the packed RBCs are less than 1 week old.
Ask another nurse to check the packed RBCs' label against the medical
record.
Prime the transfusion tubing with 0.9% sodium chloride. ~CORRECT
ANSWER~✓✓A nurse is preparing to administer packed RBCs to a client
who is anemic. Which of the following actions should the nurse take?
Chicken breast and corn on the cob ~CORRECT ANSWER~✓✓A nurse is
teaching about a low-cholesterol diet to a client who had a MI. Which of
the following meal selections by the client indicates an understanding of
the teaching?
Peripheral vascular resistance increases ~CORRECT ANSWER~✓✓A nurse
is caring for an older adult client who had an acute MI. When assessing this
client, the nurse should identify that older adults are prone to
complications of MI from poor tissue perfusion because of which of the
following age-related factors?
, Sudden olgiuria ~CORRECT ANSWER~✓✓A nurse is assessing a client
who is receiving a transfusion of packed RBCs. Which of the following
findings should the nurse identify as an indication of an acute intravascular
hemolytic reaction?
Avoid MI injections. ~CORRECT ANSWER~✓✓A nurse is planning care
for a client who has acute myelogenous leukemia and a platelet count of
48000. Which of the following interventions should the nurse include?
Petechiae and ecchymosis ~CORRECT ANSWER~✓✓A nurse is assessing a
client for manifestations of aplastic anemia. Which of the following
findings should the nurse expect?
Turkey on whole-wheat bread ~CORRECT ANSWER~✓✓A nurse is
reviewing the menu selections of a client who has heart failure and
anticipates discharge to home the following day. Which of the following
lunch choices should the nurse identify as an indication that the client
understands his dietary instructions?
"Your body has a process called fibrinolysis that will eventually dissolve
the clot." ~CORRECT ANSWER~✓✓A nurse is caring for a client who is
undergoing conservative treatment for DVT. The client asks the nurse what
will happen to the clot. Which of the following responses should the nurse
make?
