VATI Medsurg Reduction of Risk Questions and Answers

A client experiencing intermittent chest pain has been admitted to the hospital. Which of the following laboratory values should the nurse report to the health care provider immediately? Select one: a. Creatine kinase (CK) 90 units/L b. C-reactive protein (CRP) 0.2 mg/dL c. Total myoglobin 60 mcg/L d. Cardiac troponin T 1.2 ng/mL d. Cardiac troponin T 1.2 ng/mL 00:25 01:33 A client is having an exercise electrocardiography (stress test) performed. The nurse recognizes the need to stop the test if which of the following occurs? Select one: a. The client begins to breathe harder b. The client experiences an increase in heart rate. c. QRS complexes begin to occur more frequently. d. An ST segment depression or T wave inversion on the EKG. d. An ST segment depression or T wave inversion on the EKG. A client is discharged following a cardiac catheterization procedure. Which of the following should the nurse include in the discharge teaching? Select one: a. Limit activity for several days after the procedure. b. Remove dressing the evening of the procedure. c. Notify provider if bruising is noted at the site. d. Tub baths the night following the procedure are acceptable. a. Limit activity for several days after the procedure. A nurse is caring for a client post aortofemoral bypass surgery. Which of the following interventions would be contraindicated? Select one: a. Encouraging client to sit in high Fowler's position. b. Monitoring client for changes in blood pressure. c. Maintaining NPO status until first postoperative day. d. Coughing and deep breathing every 1 to 2 hours. a. Encouraging client to sit in high Fowler's position. A nurse is caring for a client at risk for atelectasis. Which of the following should the nurse monitor for manifestations of atelectasis? Select one: a. Pulse oximetry b. Daily weight c. Intake and output d. Lung sounds a. Pulse oximetry A client is admitted to the hospital with a diagnosis of Grave's disease. Which of the following findings should be reported to the provider immediately? Select one: a. Hyperactive deep tendon reflexes b. Increase in temperature from 99.5 F to 100.5 F c. Increased number of stools d. Increase in white blood cell count from 6,000 mm3 to 8,000 mm3 b. Increase in temperature from 99.5 F to 100.5 F A nurse is caring for a client with a new onset bowel obstruction. What assessment finding would be anticipated when completing an abdominal assessment? Select one: a. Absent bowel sounds. b. Hyperactive bowel sounds. c. Normal bowel sounds. d. Hypoactive bowel sounds. b. Hyperactive bowel sounds. Reduction of Risk: ARDS A client is recovering from acute respiratory distress syndrome (ARDS). Which clinical manifestation requires immediate attention by the nurse? Select one: a. Increased oxygen saturation b. Increase in pulse rate c. A decrease in blood pressure d. A decrease in temperature c. A decrease in blood pressure A client is receiving chemotherapy for the treatment of breast cancer. Which of the following findings should be reported to the provider immediately? Select one: a. Mucositis b. Alopecia c. Absolute neutrophil count 8,000/mm3 d. Temperature 38.1°C d. Temperature 38.1°C A client is prescribed TPN (total parenteral nutrition) to be infused through a single lumen PICC (peripherally inserted central catheter). Which of the following actions should the nurse take if the client is prescribed intravenous antibiotic therapy? Select one: a. Stop the TPN to administer the antibiotic as ordered. b. Administer the antibiotic through the TPN line. c. Identify alternative methods of administration. d. Request the provider insert a second PICC line. c. Identify alternative methods of administration. A nurse is providing education to a client with coronary artery disease. Which of the following cholesterol values should the nurse identify as a goal for this client? Select one: a. HDL-C level 20 mg/dL b. LDL-C level 120 mg/dL c. HDL-C level 60 mg/dL d. LDL-C level 98 mg/dL