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Medical-Surgical Nursing Certification (MEDSURG-BC™) ANCC |COMPREHENSIVE FREQUENTLY MOST TESTED QUESTIONS AND VERIFIED ANSWERS|GET IT A+ A nurse is reviewing the medical record of a client who is receiving heparin therapy for treatment of DVT. Which of th$17.99
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Medical-Surgical Nursing Certification (MEDSURG-BC™) ANCC |COMPREHENSIVE FREQUENTLY MOST TESTED QUESTIONS AND VERIFIED ANSWERS|GET IT A+ A nurse is reviewing the medical record of a client who is receiving heparin therapy for treatment of DVT. Which of th
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LSU Phys 2002 David Young
Institution
LSU Phys 2002 David Young
Medical-Surgical Nursing Certification (MEDSURG-BC™) ANCC
|COMPREHENSIVE FREQUENTLY MOST TESTED QUESTIONS AND
VERIFIED ANSWERS|GET IT A+
A nurse is reviewing the medical record of a client who is receiving heparin
therapy for treatment of DVT. Which of the following interventions should
the ...
Medical-Surgical Nursing Certification (MEDSURG-BC™) ANCC
|COMPREHENSIVE FREQUENTLY MOST TESTED QUESTIONS AND
VERIFIED ANSWERS|GET IT A+
A nurse is reviewing the medical record of a client who is receiving heparin
therapy for treatment of DVT. Which of the following interventions should
the nurse anticipate taking if the client's aPTT is 96 seconds?a. Increase
the heparin infusion flow rate by 2 mL/hrb. continue to monitor the heparin
infusion as prescribedc. request a prothrombin timed. stop the heparin
infusion - ✔✔ANSW✔✔..d
A nurse is providing teaching for a client who is 2 days post-op following a
heart transplant. Which of the following statements should the nurse
include in the teaching?a. "you may no longer be able to feel chest pain."b.
"your level of activity tolerance will not change."c. "after 6 months, you will
no longer need to restrict your sodium intake."d. "you will be able to stop
taking immunosuppressants after 12 months." - ✔✔ANSW✔✔..a
A nurse is assess a client in the emergency room who has a
bradydysrhythmia. Which of the following findings should the nurse
expect?A. confusionB. friction rubC. hypertensionD. dry skin -
✔✔ANSW✔✔..a
A nurse in the emergency department is caring for a client who had an
anterior MI. The client's history reveals she is 1 week post-op open
cholecystectomy. The nurse should recognize that which of the following
interventions is contraindicated?A. administering IV morphine sulfateB.
administering oxygen at 2 :/min via nasal cannulaC. helping the client to the
bedside commodeD. assisting with thrombolytic therapy - ✔✔ANSW✔✔..d
a nurse is planning a presentation about hypertension for a community
women's group. which of the following lifestyle modifications should the
nurse include (select all that apply)a. limited alcohol intakeb. regular
,exercise programc. dec Mg intaked. reduced K intakee. smoking cessation
- ✔✔ANSW✔✔..a, b, e
A nurse is caring for a client in the first 8 hr following coronary artery
bypass graft surgery. Which of the following client findings should the nurse
report to the provider?a. mediastinal drainage 100 mL/hrb. BP 160/80
mmHgc. Temp 37.1 (98.8)d. K 3.8 mEq/L - ✔✔ANSW✔✔..b
A nurse is caring for a client who has a history of angina and is schedules
for a stress test at 1100. Which of the following statements by the client
requires the nurse to contact the provider for possible rescheduling?a. "I'm
still hungry after the bowl of cereal I ate at 7am."b. "I didn't take my heart
pills this morning because the doctor told me not to."c. "I have had chest
pain a couple of times since I saw my doctor in the office last week."d. "I
smoked a cigarette this morning to calm my nerves about having this
procedure." - ✔✔ANSW✔✔..d
A nurse is caring for a client who has dilated cardiomyopathy. The client
reports increasing difficulty completing her daily 1-mile walks. The nurse
should recognize that this is a finding of which of the following?a. left
ventricular failureb. peripheral vasodilationc. pericardial effusiond. dec
vascular volume - ✔✔ANSW✔✔..a
A nurse is caring for a client who is scheduled for a coronary artery bypass
graft in 2 hr. Which of the following client statements indicates a need for
further clarification by the nurse?a. "My arthritis is really bothering me
because I haven't taken my aspiring in a week."b. "My blood pressure
shouldn't be high because I took my BP medication this morning."c. "I took
my warfarin last night according to my usually schedule."d. "I will check my
BP because I took a reduced dose of insulin this morning." -
✔✔ANSW✔✔..c
A nurse is caring for a client who had an onset of chest pain 24 hr ago. The
nurse should recognize that an increase in which of the following is
diagnostic of a MI?a. myoglobinb. c-reactive proteinc. creatine kinase-
MBd. Homocysteine - ✔✔ANSW✔✔..c
a nurse is caring for a client who has a history of DVT and is receiving
warfarin. Which of the following client findings provides the nurse with the
, best evidence regarding the effectiveness of the warfarin therapy?a.
hemoglobin 14 g/dLb. minimal bruising of extremitiesc. reduced
circumference of affected extremityd. INR 2.5 - ✔✔ANSW✔✔..d
A nurse is caring for a client who has endocarditis. Which of the following
findings should the nurse recognize as a potential complication?A.
ventricular depolarizationB. Guillain-Barre syndromC. myelodysplastic
syndromeD. Valvular disease - ✔✔ANSW✔✔..D
A nurse is caring for a client who presents to the ER with a BP of 254/138
mmHg. The nurse recognizes that the client is in a hypertensive crisis.
Which of the following actions should the nurse take first?A. obtain blood
samples for laboratory testingB. Tell the client to report vision changesC.
Place the head of the bed at 45 degreesD. initiate an IV - ✔✔ANSW✔✔..C
a nurse is caring for a client who has HF and is experiencing AF. The nurse
should plan to monitor for and report which of the following findings to the
provider immediately?a. slurred speechb. irregular pulsec. dependent
edemad. persistent fatigue - ✔✔ANSW✔✔..a
A nurse is assessing a client who has left-sided HF. Which of the following
manifestations should the nurse expect to find?a. inc abdominal girthb.
weak peripheral pulsesc. jugular vein distentiond. dependent edema -
✔✔ANSW✔✔..b
a nurse is caring for a client who is being treated for HF and has
prescriptions for digoxin and furosemide. The nurse should plan to monitor
for which of the following as an adverse effect of these medications?a.
SOBb. lightheadednessc. dry coughd. metallic taste - ✔✔ANSW✔✔..b
a nurse is monitoring a client following coronary artery bypass graft
surgery. Which of the following findings can indicate cardiac tamponade?a.
sternal instabilityb. inc WBC countc. BP 140/82 mmHg on inspiration and
154/90 mmHg on expirationd. sinus rhythm with occasional premature atrial
contraction and HR 88/min - ✔✔ANSW✔✔..c
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