A persistent cough
this is an adverse effect that should be reported to the provider. Constipation is anoth
A client who has a new diagnosis of adverse effect, but does not require to discontinue medication or notify provider.
hypertension has a prescription for an ACE
inhibitor. The nurse instructs the client about
adverse effects of the medication. The client
demonstrates an understanding of the teaching
by stating that he will notify his provider if he
experiences which of the following?
Assisting with thrombolytic therapy
A nurse in the emergency department is caring
for a client who had an anterior MI. The client's major surgery within the previous 3 weeks is a contraindication for thrombolytic thera
history reveals she is 1 week post-op open
cholecystectomy. The nurse should recognize
that which of the following interventions is
contraindicated?
Inquire about the presence or absence of claudication
A nurse is admitting a client who has a leg ulcer
and a history of DM. The nurse should use clients who have arterial ulcers experience claudication; those who have venous ulce
which of the following focused assessments to not.
help differentiate between an arterial ulcer and a
venous stasis ulcer?
, Confusion
A nurse is assessing a client in the emergency
room who has a bradydysrhythmia. Which of the bradydysrhthmia can cause decrease systemic perfusion, which can lead to confusio
following findings should the nurse expect? should monitor the client's mental status
Weak peripheral pulses
A nurse is assessing a client who has left-sided
HF. Which of the following manifestations should left-sided heart failure results in decreased cardiac output, which can be evidenced b
the nurse expect to find? peripheral pulses
Absence of adventitious breath sounds
A nurse is assessing a client who has
pulmonary edema related to hear failure. Which adventitious breath sounds indicates fluid is in the lungs. No sounds means pulmona
of the following findings indicates effective edema is resolving
treatment of the client's condition?
"I can't get rid of these hiccups."
A nurse is caring for a client following insertion hiccups may indicate the pacemaker is stimulating the chest wall or diaphragm, whic
of a permanent pacemaker. Which of the occur as a result of a lead wire perforation
following client statements indicates a potential
complication of the insertion procedure?
report an elevated blood pressure
A nurse is caring for a client in the first 8 hr
following coronary artery bypass graft (CABG) increased vascular pressure can cause bleeding at the incision site
surgery. Which of the following client findings
should the nurse report to the provider?
this is an adverse effect that should be reported to the provider. Constipation is anoth
A client who has a new diagnosis of adverse effect, but does not require to discontinue medication or notify provider.
hypertension has a prescription for an ACE
inhibitor. The nurse instructs the client about
adverse effects of the medication. The client
demonstrates an understanding of the teaching
by stating that he will notify his provider if he
experiences which of the following?
Assisting with thrombolytic therapy
A nurse in the emergency department is caring
for a client who had an anterior MI. The client's major surgery within the previous 3 weeks is a contraindication for thrombolytic thera
history reveals she is 1 week post-op open
cholecystectomy. The nurse should recognize
that which of the following interventions is
contraindicated?
Inquire about the presence or absence of claudication
A nurse is admitting a client who has a leg ulcer
and a history of DM. The nurse should use clients who have arterial ulcers experience claudication; those who have venous ulce
which of the following focused assessments to not.
help differentiate between an arterial ulcer and a
venous stasis ulcer?
, Confusion
A nurse is assessing a client in the emergency
room who has a bradydysrhythmia. Which of the bradydysrhthmia can cause decrease systemic perfusion, which can lead to confusio
following findings should the nurse expect? should monitor the client's mental status
Weak peripheral pulses
A nurse is assessing a client who has left-sided
HF. Which of the following manifestations should left-sided heart failure results in decreased cardiac output, which can be evidenced b
the nurse expect to find? peripheral pulses
Absence of adventitious breath sounds
A nurse is assessing a client who has
pulmonary edema related to hear failure. Which adventitious breath sounds indicates fluid is in the lungs. No sounds means pulmona
of the following findings indicates effective edema is resolving
treatment of the client's condition?
"I can't get rid of these hiccups."
A nurse is caring for a client following insertion hiccups may indicate the pacemaker is stimulating the chest wall or diaphragm, whic
of a permanent pacemaker. Which of the occur as a result of a lead wire perforation
following client statements indicates a potential
complication of the insertion procedure?
report an elevated blood pressure
A nurse is caring for a client in the first 8 hr
following coronary artery bypass graft (CABG) increased vascular pressure can cause bleeding at the incision site
surgery. Which of the following client findings
should the nurse report to the provider?
