A nurse is collecting data from a client who has an abdominal aortic aneurysm. Which of the
following manifestations should the nurse expect?
- correct answer Lower Back Discomfort
A nurse is assisting in monitoring a client who had a myocardial infarction. For which of the
following complications should the nurse monitor in the first 24 hr?
- correct answer Ventricular dysrhythmias
A nurse is collecting data from a client who has manifestations of aplastic anemia. Which of the
following findings should the nurse expect?
- correct answer Petechiae and ecchymosis
A nurse is reinforcing teaching with a client who has anemia and a new prescription for epoetin
alfa. Which of the following information should the nurse include in the teaching?
- correct answer Hypertension is a common adverse effect of this medication
A nurse is collecting data from a client who has right-sided heart failure. Which of the following
findings should the nurse expect?
- correct answer Dependent edema
, A nurse is assisting in the plan of care for a client who is having a percutaneous transluminal
coronary angioplasty (PTCA) with stent placement. Which of the following actions should the
nurse anticipate in the postoperative plan of care?
- correct answer Initiate an aspirin regimen
A nurse is caring for a client who has advanced heart failure. Which of the following actions
should the nurse take?
- correct answer Enforce fluid restrictions
A nurse is administering a loop diuretic to a client who has 3+ pitting edema in the lower
extremities. Which of the following actions should the nurse take?
- correct answer Monitor the client for ototoxicity
A nurse is evaluating a clients repeat laboratory results 4 hr after administering fresh frozen
plasma (FFP). Which of the following laboratory values should the nurse review?
- correct answer Prothrombin time
A nurse is assisting in the preparation of a unit of packed red blood cells (RBCs) for a client who
has anemia. Which of the following actions should the nurse take first?
- correct answer Witness informed consent.