Medical-Surgical: Cardiovascular and Hematology-
Verified Questions & Answers.
A nurse is caring for a client with pernicious anemia. The nurse should
know that to treat this condition, the client will require which of the
following?
A. ferrous sulfate supplementation
B. increased dietary intake of folic acid
C. monthly injections of vitamin B12
D. blood transfusion ~CORRECT ANSWER~✓✓C. monthly injections of
vitamin B12
pernicious anemia is caused by a lack of intrinsic factor needed to absorb
vitamin B12 from the GI tract. Monthly B12 injections are the definitive tx
to correct the vitamin B12 deficiency.
A nurse is instructing a client after a myocardial infarction about lifestyle
changes. A client returns for a follow up visit to the cardiac clinic after
,hospitalization for an acute myocardial infarction. Which statement made
by the client indicates that additional teaching is needed?
A. "I should no longer eat foods high in saturated fat"
B. "Before taking my medication, I will count my radial pulse rate."
C. I will exercise once a week fro an hour at the health club."
D. "After eating, I will reset before resuming my daily routine." ~CORRECT
ANSWER~✓✓C. "I Will exercise once a week for an hour at the health
club."
exercise is most effective if done at least three times a week for a minimum
of 20 min.
A nurse is preparing to infuse a blood transfusion using packed cells (250
mL) to a client in a 4 hr. The blood set delivers 10 gtts per mL. What is the
proper drip rate to use for the unit of packed cells? ~CORRECT
ANSWER~✓✓10 gtts/min
, A nurse is caring for a client diagnosed with complete heart block who has
a demand pacemaker inserted. The pacer is set for 72 beats/min. Which
EKG pattern indicates to the nurse a failure to capture?
A. QRS complexes occurring at a rate of 73 beats/min, and no sharp spikes
B. sharp spikes at 72/min; QRS complexes at 50 beats/min
C. P waves at a rate of 78/min; QRS complexes at 72 beats/min
D. QRS complexes at a rate of 100 beats/in ~CORRECT ANSWER~✓✓B.
sharp spikes at 72/min; QRS complexes at 50 beats/min
the pacemaker is firing at the set rate, but the heart is only beating 50
times/min. This may be due to poor positioning of the pacer electrode and
is referred to as lack of capture
A nurse is caring for a client following a vein ligation and stripping for
varicose veins. Following this surgery, the nurse should know to place the
client in which positions?
Verified Questions & Answers.
A nurse is caring for a client with pernicious anemia. The nurse should
know that to treat this condition, the client will require which of the
following?
A. ferrous sulfate supplementation
B. increased dietary intake of folic acid
C. monthly injections of vitamin B12
D. blood transfusion ~CORRECT ANSWER~✓✓C. monthly injections of
vitamin B12
pernicious anemia is caused by a lack of intrinsic factor needed to absorb
vitamin B12 from the GI tract. Monthly B12 injections are the definitive tx
to correct the vitamin B12 deficiency.
A nurse is instructing a client after a myocardial infarction about lifestyle
changes. A client returns for a follow up visit to the cardiac clinic after
,hospitalization for an acute myocardial infarction. Which statement made
by the client indicates that additional teaching is needed?
A. "I should no longer eat foods high in saturated fat"
B. "Before taking my medication, I will count my radial pulse rate."
C. I will exercise once a week fro an hour at the health club."
D. "After eating, I will reset before resuming my daily routine." ~CORRECT
ANSWER~✓✓C. "I Will exercise once a week for an hour at the health
club."
exercise is most effective if done at least three times a week for a minimum
of 20 min.
A nurse is preparing to infuse a blood transfusion using packed cells (250
mL) to a client in a 4 hr. The blood set delivers 10 gtts per mL. What is the
proper drip rate to use for the unit of packed cells? ~CORRECT
ANSWER~✓✓10 gtts/min
, A nurse is caring for a client diagnosed with complete heart block who has
a demand pacemaker inserted. The pacer is set for 72 beats/min. Which
EKG pattern indicates to the nurse a failure to capture?
A. QRS complexes occurring at a rate of 73 beats/min, and no sharp spikes
B. sharp spikes at 72/min; QRS complexes at 50 beats/min
C. P waves at a rate of 78/min; QRS complexes at 72 beats/min
D. QRS complexes at a rate of 100 beats/in ~CORRECT ANSWER~✓✓B.
sharp spikes at 72/min; QRS complexes at 50 beats/min
the pacemaker is firing at the set rate, but the heart is only beating 50
times/min. This may be due to poor positioning of the pacer electrode and
is referred to as lack of capture
A nurse is caring for a client following a vein ligation and stripping for
varicose veins. Following this surgery, the nurse should know to place the
client in which positions?
