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A nurse is caring for a client who came into the ED reporting chest pain. The provider
suspects a MI. While waiting for the lab to report the clients troponin levels, the client asks
what this blood test will show. The nurse should explain that troponin is
, A heart muscle protein that appears in the blood stream when there is damage to the heart.
A nurse is assessing a client who has DIC. WHich of the following should the nurse expect in
the findings?
Increased clotting factors
A nurse is administering warfarin to a client with A-FIb. When the client asks what the
medication will do, which of the following is an appropriate response?
It prevents strokes in patient who has A-FIB
A nurse in a cardiac care unit is caring for a client with acute HF. WHich of the following
should the nurse expect?
Elevated central venous pressure?
A client comes into the ED reporting N/V that worsens when lying down and without relief
from andacids. The provider suspects acute pancreatitis. WHich of the following lab results
should the nurse expect to see if the client has acute pancreatitis?
increased serum amylase
A nurse in the ICU is caring for a client who has ARDS and is recieving mechanical
ventilation via endotracheal tube. The provider plans to extubate her within the next 24hrs.
Which od the following is aan important criteria for extubating the client?
Adequate tidal volume without manually assisted breaths?
A nurse is caring for a client following a CT scan with dye who suffered from an
anaphylactic reaction. Which of the following conditions requires a priority nursing
response?
Stridor
A nurse is caring for a client who just had a thoracentesis to remove pleural fluid. Which of
the following manifestations shoukld the nurse report to the provider immediately?
Increased HR
The nurse notices thick dressing on the chest and sucking noise coming from the wound.
Client BP is 100/60, weak pulse rate of 118/min, and RR of 40/min. Which of the following
actions should the nurse take initially?
Administer oxygen via nasal cannula
A nurse is suctioning the endo tube of a client on a ventilator. The client HR increases from
86 to 110 and become irregular. The nurse should know the client requires which of the
following?