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A nurse assesses a client who is recovering after a
coronary catheterization. Which assessment findings in
the first few hours after the procedure require immediate
action by the nurse? Correct Answer Serum potassium of
2.9 mEq/L
Expanding groin hematoma
Rhythm changes on the cardiac monitor
A nurse reviews a client's laboratory result. Which findings
would alert the nurse to the possibility of atherosclerosis?
Correct Answer Total Cholesterol: 208 mg/dL
Triglycerides: 200 mg/dL
Low -density lipoprotein cholesterol: 160 mg/dL
A nurse prepares a client for a pharmacologic stress
echocardiogram. Which actions would the nurse take
when preparing the client for the procedure? Correct
Answer Prepare for continuous blood pressure and pulse
monitoring
Give the client nothing by mouth 3 to 6 hours before
procedure
Explain to the client that dobutamine will simulate exercise
for this exam
,A nurse cares for a client who is recovering from a right-
sided heart catheterization. For which complications of this
procedure would the nurse assess? Correct Answer
Thrombophlebitis
Pulmonary Embolism
Cardiac tamponade
A nurse is teaching the client with systemic lupus
erythematosus about prednisone. What information is the
priority? Correct Answer Never stop prednisone aburtly
The nurse is caring for clients on the medical-surgical unit.
What action by the nurse will help prevent a client from
having a type II hypersensitivity reaction? Correct Answer
Correctly identifying the client prior to a blood transfusion
A client has been newly diagnosed with systemic lupus
erythematosus and is reviewing self-care measures with
the nurse. Which statement by the client indicates a need
to review the material? Correct Answer "Baby powder is
good for the constant sweating."
A client calls the clinic to report exposure to poison ivy and
an itchy rash that is not helped with over-the-counter
antihistamines. What response by the nurse is most
appropriate? Correct Answer "Antihistamines do not help
poison ivy."
A nurse has educated a client on an epinephrine
autoinjector. What statement by the client indicated
, additional instruction is needed? Correct Answer "I don't
need to go to the hospital after using it."
A nurse has presented an educational program to a
community group on Lyme disease. What statement by a
participant indicates the need to review the material?
Correct Answer "If Lyme Disease is not treated
successfully, it is usually fatal."
A client is in the hospital and has received two doses of an
angiotensin-converting enzyme for hypertension. When
the nurse answers the client's call light, the client presents
an appearance as shown below. Correct Answer Ensure a
patient airway while calling the Rapid Response Team
The nurse is studying hypersensitivity reactions. Which
reactions are correctly matched with their hypersensitivity
types? Correct Answer Type 1-examples include hay fever
and anaphylaxis
Type 3-immune complex deposits in blood vessel walls
Type 4-examples are poison ivy and transplant rejection
The nurse is assessing a client for signs and symptoms of
systemic lypus erythematosus. Which of the following
would be consistent with this disorder? Correct Answer
Discoid rash on skin exposed to sunlight
Urinalysis positive for casts and protein
Pain on inspiration
Serum positive for antinuclear antibodies