A client with a confirmed DVT is being discharged from the ED. Which client statement indicates that the client has received proper nursing instruction and understands how to manage this condition?
"I should try not to drink too much during the daytime."
"I should lie on my side with my knees ben...
,A client with a confirmed DVT is being discharged from the ED. Which
client statement indicates that the client has received proper nursing
instruction and understands how to manage this condition?
"I should try not to drink too much during the daytime."
"I should lie on my side with my knees bent when sleeping."
"I need to ice my leg every 2 hours for about 20 minutes."
"I need to do my leg exercises five times or more every hour." - ANS
"I need to do my leg exercises five times or more every hour."
K
A nurse is caring for a client who had an aortic balloon valvuloplasty.
C
The nurse should inspect the surgical insertion site closely for which
complication(s)?
LO
Bleeding and infection
Bleeding and wound dehiscence
Thrombosis and infection
Evisceration - ANS Bleeding and infection
YC
A client who recently had a myocardial infarction develops pericarditis
and complains of chest pain rated 6 (on a scale of 0-10) with deep
breathing. Which ordered pro re nata medications is most appropriate
D
for the nurse to administer?
Morphine sulfate 6 mg IVP every 2-4 hours
U
Fentanyl 2 mg intravenous pyelogram (IVP) every 2-4 hours
Acetaminophen 650 mg PO every 4 hours
ST
Ibuprofen 800 mg PO every 8 hours - ANS Ibuprofen 800 mg PO
every 8 hours
The nurse instructs a client recovering from mechanical valve
replacement surgery. Which client statement indicates that teaching
has been effective?
"I can play soccer in a week or two."
"I will not drive until informed by my health care provider."
,"I have a low risk of developing an infection in my heart."
"I will not need to take anticoagulant medication every day." - ANS "I
will not drive until informed by my health care provider."
A nurse is caring for a client receiving warfarin therapy following a
mechanical valve replacement. The client had a prothrombin time and
International Normalized Ratio (INR) drawn before breakfast. The
laboratory report shows the client's INR reading was 4. What is the
K
nurse's first priority ?
Assess the client for bleeding and notify the health care provider of the
C
results.
Notify the next nurse on afternoon shift to hold the evening dose of
LO
warfarin.
Notify the health care provider to request an increase in the warfarin
dose.
Be prepared to administer an I.M. vitamin K injection and notify the
YC
healthcare provider of the results. - ANS Assess the client for
bleeding and notify the health care provider of the results.
The nurse suspects a client has developed pericarditis after a week of
D
cold-like symptoms. Which of the client's signs and symptoms indicate
pericarditis?
U
low urine output secondary to left ventricular dysfunction
fever, chest discomfort, and elevated erythrocyte sedimentation rate
ST
(ESR)
pitting edema, chest discomfort, and nonspecific ST-segment
elevation
lethargy, anorexia, and heart failure - ANS fever, chest discomfort,
and elevated erythrocyte sedimentation rate (ESR)
, A client is admitted to the hospital with aortic stenosis. What
assessment findings would indicate the development of left ventricular
failure?
Orthopnea, nausea, pedal edema
Distended jugular veins, pedal edema, nausea
Dyspnea, orthopnea, pulmonary edema
Dyspnea, distended jugular veins, orthopnea - ANS Dyspnea,
orthopnea, pulmonary edema
K
Which would the nurse stress as a periodic lifelong necessity for a
C
client managing infective endocarditis?
Exercise regimen
LO
Antihypertensive medication
Potassium replacement
Antibiotic therapy - ANS Antibiotic therapy
YC
The nurse is caring for a client who has been diagnosed with aortic
stenosis. The client is prescribed digoxin. What is the rationale for the
medication?
left ventricular dysfunction
D
angina
dyspnea
U
edema - ANS left ventricular dysfunction
ST
A client is admitted to the hospital with possible acute pericarditis and
pericardial effusion. The nurse knows to prepare the client for which
diagnostic test to confirm the client's diagnosis?
Computed tomography
Echocardiography
Chest x-ray
Cardiac catheterization - ANS Echocardiography
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