Which of the following allergies is most important for the nurse to assess before this
procedure?
Iron
Iodine
Aspirin
Penicillin
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, Iodine
The nurse is admitting a client and notes clubbing of the client's fingers. Based on this
finding, which of the following disease processes should the nurse assess in the
client?
Endocarditis
Acute renal failure
Myocardial infarction
Chronic thrombo-phlebitis
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Endocarditis
Clubbing of the fingers is a loss of the normal angle between the base of
the nail and the skin. This finding can be found in endocarditis, congenital
defects, and prolonged oxygen deficiency.
Which of the following statements best describes the electrical activity of the heart
represented by measuring the PR interval on the ECG?
The length of time it takes to depolarize the atrium
The length of time it takes for the atria to depolarize and repolarize
The length of time for the electrical impulse to travel from the SA node to the Purkinje
fibres
The length of time it takes for the electrical impulse to travel from the SA node to the
AV node
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, The length of time for the electrical impulse to travel from the SA node to
the Purkinje fibres
The electrical impulse in the heart must travel from the SA node through
the AV node and into the Purkinje fibres in order for synchronous atrial and
ventricular contraction to occur. The P wave represents atrial contraction
and the R wave is part of the QRS complex that represents ventricular
contraction. Therefore, when measuring the time from the beginning of the
P wave to the beginning of the QRS (PR interval), the nurse is identifying
the length of time it takes for the electrical impulse to travel from the SA
node to the Purkinje fibres.
The nurse is auscultating a client's heart and assesses the presence of a murmur.
Which of the following physiological changes has occurred to result in a heart
murmur?
a. Increased viscosity of the client's blood
b. Turbulent blood flow across a heart valve
c. Friction between the heart and the myocardium Incorrect
d. A deficit in heart conductivity that impairs normal contractility
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b. Turbulent blood flow across a heart valve
The nurse is caring for a young client who had a mandatory ECG before participation
on a college swim team and is found to have sinus bradycardia rate 52. BP is
114/54mmHg, and the student denies any health problems. which of the following
actions by the nurse is best
a) allow the student to participate on the swim team
b) refer the student to a cardiologist for further assessment
c) obtain more detailed information about the students health history
d) tell the student to stop swimming immediately is any dyspnea occurs
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, a) allow the student to participate on the swim team
Which of the following interventions in the care of a client with a diagnosis of chronic
venous insufficiency (CVI) is priority?
Application of topical antibiotics to venous ulcers
Maintaining the client's legs in a dependent position
Administration of oral and subcutaneous anticoagulants (or both)
Teaching the client the correct use of compression stockings
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Teaching the client the correct use of compression stockings
Chronic venous insufficiency (CVI) requires conscientious and consistent
application of compression stockings. Anticoagulants are not necessarily
indicated and antibiotics, if required, are typically oral or IV, not topical. The
client should avoid prolonged positioning with the limb in a dependent
position.
blood urea nitrogen (BUN)
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10-20 mg/dL
The nurse would determine that a postoperative client is not receiving the beneficial
effects of enoxaparin after noting which of the following during a routine shift
assessment?