UPDATE!!!2025/2026|GUARANTEED
A client is diagnosed with an acute myocardial infarction and is receiving tissue plasminogen
activator, alteplase (Activase, tPA). Which action is a priority nursing intervention? -
ANSWER Bleeding
A sulfonamide is prescribed for a client with a urinary tract infection. On review of the
client's record, the nurse notes that the client is taking warfarin sodium (Coumadin) daily.
Which prescription should the nurse anticipate for this client? - ANSWER A decrease in
the warfarin sodium (Coumadin) dosage
A client with multiple sclerosis is receiving diazepam (Valium), a centrally acting skeletal
muscle relaxant. Which data would indicate that the client is experiencing a side effect
related to this medication? - ANSWER Drowsiness
A client is receiving an enteral feeding that delivers 1.5 calories/mL. The feeding is infusing at
30 mL/hr via a feeding pump. Which is the maximal amount of calories the client should
receive in an 8-hour period if the tube feeding is not interrupted? - ANSWER 360
calories
The nurse in the health care provider's office is measuring vital signs on a postoperative
client who underwent mastectomy of her right breast 2 weeks ago. The client tells the nurse
that she is very concerned because she has numbness in the area of the surgery and along
the inner side of the arm from the armpit to the elbow. Which statement is appropriate for
the nurse to tell the client? - ANSWER "These sensations dissipate over several months
and usually resolve after 1 year."
1
A client is diagnosed with an acute myocardial infarction and is receiving tissue plasminogen
activator, alteplase (Activase, tPA). Which action is a priority nursing intervention? -
ANSWER Bleeding
A sulfonamide is prescribed for a client with a urinary tract infection. On review of the
client's record, the nurse notes that the client is taking warfarin sodium (Coumadin) daily.
Which prescription should the nurse anticipate for this client? - ANSWER A decrease in
the warfarin sodium (Coumadin) dosage
A client with multiple sclerosis is receiving diazepam (Valium), a centrally acting skeletal
muscle relaxant. Which data would indicate that the client is experiencing a side effect
related to this medication? - ANSWER Drowsiness
A client is receiving an enteral feeding that delivers 1.5 calories/mL. The feeding is infusing at
30 mL/hr via a feeding pump. Which is the maximal amount of calories the client should
receive in an 8-hour period if the tube feeding is not interrupted? - ANSWER 360
calories
The nurse in the health care provider's office is measuring vital signs on a postoperative
client who underwent mastectomy of her right breast 2 weeks ago. The client tells the nurse
that she is very concerned because she has numbness in the area of the surgery and along
the inner side of the arm from the armpit to the elbow. Which statement is appropriate for
the nurse to tell the client? - ANSWER "These sensations dissipate over several months
and usually resolve after 1 year."
1
