NUR 213 Practice Questions with 100% Correct Answers

When monitoring a client who is receiving tissue plasminogen activator (t-PA), the nurse should have resuscitation equipment available because reperfusion of the cardiac tissue can result in: a. cardiac arrhythmias. b. hypertension. c. seizure. d. hypothermia. Correct Answer a A nurse in the emergency department is caring for a client with acute heart failure. Which laboratory value is most important for the nurse to check before administering medications to treat heart failure? a. Platelet count b. Potassium c. Calcium d. White blood cell (WBC) count Correct Answer b An 80-year-old client is admitted with nausea and vomiting. The client has a history of heart failure and is being treated with digoxin. The client has been nauseated for a week and began vomiting 2 days ago. Laboratory values indicate hypokalemia. Because of these clinical findings, the nurse should assess the client carefully for: a. chronic renal failure. b. exacerbation of heart failure. c. digoxin toxicity. d. metabolic acidosis. Correct Answer c The nurse is providing discharge instructions to a client with unstable angina. The client is ordered Nitrostat 1/150 every 5 minutes as needed for angina. Which side effect, emphasized by the nurse, is common especially with the increased dosage? a. Rash b. Nausea c. Dry mouth d. Orthostatic hypotension Correct Answer d An 83-year-old resident in the long-term care facility where you practice nursing has an irregular heart rate of around 100 beats/minute. He also has a significant pulse deficit. What component of his history would produce such symptoms?