with solutions 2025
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. - 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 - 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. - ANSWER c