Study Guide
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.
A nurse is caring for a client who had a myocardial infarction 5 days ago.
The client has a sudden onset of shortness of breath and begins coughing
frothy, pink sputum. The nurse auscultates loud, bubbly sounds on
inspiration. Which of the following adventitious breath sounds should the
nurse document?
Correct answer: Coarse crackles
A nurse is checking for cardiac tamponade on a client who has pericarditis.
Which of the following actions should the nurse take?
Correct answer: Auscultate blood pressure for pulses paradoxus