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BSN 335 Prioritization in Nursing Quiz Questions and Answers

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BSN 335 Prioritization in Nursing Quiz Questions and Answers

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BSN 335 Prioritization in Nursing Quiz
Questions and Answers




The clinic nurse is evaluating a client who had coronary artery
stenting through the right femoral artery a week previously and is
taking metoprolol, clopidogrel, and aspirin. Which information
reported by the client is most important to report to the health
care provider?




Bruising is present at the right groin.




Home radial pulse rate has been 55 to 60 beats/min.




Client is experiencing shortness of breath and fatigue.


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Home blood pressure today was 104/52 mm Hg. Ans: Client is
experiencing shortness of breath and fatigue.

A client is admitted to the intensive care unit with disseminated
intravascular coagulation (DIC) associated with a gram-negative
infection. Which assessment information has the most immediate
implications for the client's care?




There is mottling of the hands and feet.




The client's oxygen saturation is 87%.




The client reports chest pain.




There is no palpable radial or pedal pulse. Ans: The client's
oxygen saturation is 87%.




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