,
,
, contrast media used for cardiac catheterization. Therefore, the nurse does not need to
review this laboratory level prior to a cardiac catheterization.)
c) TSH(TSH levels determine thyroid function. However, it is not impacted by contrast
media used for cardiac catheterization. Therefore, the nurse does not need to review this
laboratory level prior to a cardiac catheterization.)
d) BUN(BUN levels indicate kidney function. Contrast media used during cardiac
catheterization can cause renal failure. The nurse should review this laboratory level to
determine if the client can tolerate the IV contrast dye during the procedure.)
7. A nurse is reinforcing glycosylated hemoglobin (HbA1c) testing with a client who has
diabetes mellitus. Which of the following statements indicates that the client understands
the teaching?
a) "The HbA1c test should be performed 2 hr after I eat a meal that is high in
carbohydrates."(The nurse should remind the client that carbohydrate consumption is not
required for HbA1c testing.)
b) "The HbA1c test can help detect the presence of ketones in my body."(The nurse should
remind the client that urine testing can detect ketone bodies.)
c) "I will have my HbA1c checked twice per year."(An HbA1c test provides the client's
average glucose level for the preceding 3 months. The nurse should instruct the client to
have her HbA1c tested twice yearly to manage her glucose.)
d) "I will plan to fast before I have my HbA1c tested."(The nurse should remind the client
that fasting is not required for HbA1C testing.)
8. A nurse is examining a client’s IV site and notes a red line up his arm. The client reports a
throbbing, burning pain at the IV site. The nurse should identify that the client’s
manifestations indicate which of the following complications of IV therapy?
a) Thrombophlebitis(The nurse should identify pain, warmth, and a red streak up the arm as
indications of thrombophlebitis.)
b) Infiltration(The nurse should identify swelling and cool skin at the IV site as indications
of infiltration.)
c) Hematoma(The nurse should identify swelling and bruising as indications of a hematoma
that can develop by not holding enough pressure after discontinuing the IV.)
d) Venous spasms(The nurse should identify cramping at or above the insertion site and
numbness as indications of venous spasms.)
9. A nurse is reinforcing teaching about management of constipation with a client who has
hypothyroidism. Which of the following should the nurse include in the teaching?
,
, contrast media used for cardiac catheterization. Therefore, the nurse does not need to
review this laboratory level prior to a cardiac catheterization.)
c) TSH(TSH levels determine thyroid function. However, it is not impacted by contrast
media used for cardiac catheterization. Therefore, the nurse does not need to review this
laboratory level prior to a cardiac catheterization.)
d) BUN(BUN levels indicate kidney function. Contrast media used during cardiac
catheterization can cause renal failure. The nurse should review this laboratory level to
determine if the client can tolerate the IV contrast dye during the procedure.)
7. A nurse is reinforcing glycosylated hemoglobin (HbA1c) testing with a client who has
diabetes mellitus. Which of the following statements indicates that the client understands
the teaching?
a) "The HbA1c test should be performed 2 hr after I eat a meal that is high in
carbohydrates."(The nurse should remind the client that carbohydrate consumption is not
required for HbA1c testing.)
b) "The HbA1c test can help detect the presence of ketones in my body."(The nurse should
remind the client that urine testing can detect ketone bodies.)
c) "I will have my HbA1c checked twice per year."(An HbA1c test provides the client's
average glucose level for the preceding 3 months. The nurse should instruct the client to
have her HbA1c tested twice yearly to manage her glucose.)
d) "I will plan to fast before I have my HbA1c tested."(The nurse should remind the client
that fasting is not required for HbA1C testing.)
8. A nurse is examining a client’s IV site and notes a red line up his arm. The client reports a
throbbing, burning pain at the IV site. The nurse should identify that the client’s
manifestations indicate which of the following complications of IV therapy?
a) Thrombophlebitis(The nurse should identify pain, warmth, and a red streak up the arm as
indications of thrombophlebitis.)
b) Infiltration(The nurse should identify swelling and cool skin at the IV site as indications
of infiltration.)
c) Hematoma(The nurse should identify swelling and bruising as indications of a hematoma
that can develop by not holding enough pressure after discontinuing the IV.)
d) Venous spasms(The nurse should identify cramping at or above the insertion site and
numbness as indications of venous spasms.)
9. A nurse is reinforcing teaching about management of constipation with a client who has
hypothyroidism. Which of the following should the nurse include in the teaching?
