NUR 235 CARDIOLOGY ACUTE CARE NURSING FINAL EXAM | ALL QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) | LATEST EXAM | JUST RELEASED | GRADED A+

NUR 235 CARDIOLOGY ACUTE CARE NURSING
FINAL EXAM | ALL QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) | LATEST
EXAM | JUST RELEASED | GRADED A+

Which intervention should be included in the nursing care plan for a client
with idiopathic thrombocytopenia purpura? ---------CORRECT ANSWER-----
------------Avoid intramuscular injections



A postoperative client receiving a transfusion of packed RBCs develops
chills, fever, headache, and anxiety 35 minutes after the transfusion was
started. What is the priority action of the nurse? ---------CORRECT
ANSWER-----------------Stop the infusion



A client in the emergency department complains of back pain and difficulty
breathing 15 minutes after transfusion of whole WBCs is started. The
nurse's first action should be: ---------CORRECT ANSWER-----------------
discontinue transfusion and infuse normal saline



For a client with a clinical finding of leukocytosis the nurse should: ---------
CORRECT ANSWER-----------------anticipate a possible provider order for
antibiotic coverage.



For an adult client admitted for ****, which clinical findings relative to the
hematologic system would be associated with the aging process? (select
all that apply) ---------CORRECT ANSWER-----------------Decreased anabolic
buildup from flu immunization
Increased coagulability which predisposes the patient

,The client is told that her hematocrit is very low. Which symptom would the
nurse expect the client to experience? ---------CORRECT ANSWER-----------
------Fatigue related to decreased O2 transport



The nurse formulates the final expected outcomes for a client admitted with
hemarthrosis. The client will have no further hematomas or other evidence
of bleeding. The most appropriate intervention would be to: ---------
CORRECT ANSWER-----------------Handle the client very gently protecting
the joints



After removing a peripheral vascular access device, the nurse notes
bleeding at the site. What nursing action should the nurse do first? ---------
CORRECT ANSWER-----------------Apply direct pressure



The client is prescribed iron oral medication for mild anemia. Which client
statement indicates a need for further teaching about this medication? ------
---CORRECT ANSWER-----------------"I will take this medication with milk."



While reviewing lab results for a client who has gastric bypass surgery last
year, the nurse notes that the amount of RBCs has remarkably decreased.
The nurse suspects that the anemia is related to: ---------CORRECT
ANSWER-----------------Vitamin B12 deficiency



A nurse starts a peripheral venous access site on a patient who has
multiple traumatic injuries. The nurse notes blood in the urine and the
feces. Suspecting DIC, the nurse expects which laboratory result? ---------
CORRECT ANSWER-----------------Increased activated partial
thromboplastin time (aPTT)

,Which measure should a client with leukopenia institute to prevent
infection? (select all that apply) ---------CORRECT ANSWER-----------------
Avoid eating salads, raw fruits, and raw vegetables
Wash hands after handling the mail
Do not get close to pets
Do not reuse dishes or eating utensils without washing them first



An emergency department patient has a suspected gunshot wound to the
abdomen. The nurse who finds a profusely bleeding abdominal wound
should anticipate which signs(s) and symptom(s) of profuse blood loss?
(Select all that apply.) ---------CORRECT ANSWER-----------------Rapid,
weak pulse
Cold, clammy skin
Decreased BP



When asked to identify which type of burn is often seen in children, the
student should select: ---------CORRECT ANSWER-----------------Scald
burns



The nurse is caring for a client admitted to the burn unit with burns 45% of
the body. After 3 days the nurse notes that the client's temperature is
nearly elevated at 100.2*F, and the client is confused and restless. What
should the nurse do first? ---------CORRECT ANSWER-----------------Contact
the physician



The nurse notes that a client with full-thickness burns has an increase in
his hematocrit level. What should the nurse realize is causing this change
in lab values? ---------CORRECT ANSWER-----------------Loss of
intravascular fluids

, The nurse is caring for a client 3 days following his split-thickness burn
injury from a fire. Which observation indicates that nursing interventions to
promote cardiac output have been effective? ---------CORRECT ANSWER--
---------------BP is 128/66



The nurse is caring for a client who is 2 days post inhalation burn injury
from a house fire. Which outcome best indicates that nurse interventions
for impaired gas exchange have been effective? **impaired gas exchange
causes confusion** ---------CORRECT ANSWER-----------------The client is
alert and oriented



A client who is admitted after a thermal burn injury has the following: BP
70/40, HR 140, R 25. He denies pain when asked. During the assessment
the nurse has difficulty locating an apical pulse. What action should the
nurse take? **pt experiencing hypovolemic shock*** ---------CORRECT
ANSWER-----------------Begin IV fluids



A client is brought to the urgent care center with partial-thickness and full-
thickness burns. Which immediate nursing intervention are appropriate for
this client? (select all that apply) ---------CORRECT ANSWER-----------------
Administer oxygen
Begin IV infusion of lactated ringers
Administer tetanus injection
Administer pain medication



The nurse is conducting a focused assessment of the gastrointestinal
system of a client with a burn injury. The nurse should assess the client for:
---------CORRECT ANSWER-----------------Curlings ulcer