Conceptual Actual Frequently Tested Exam
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Preston White
The client has significant bruising on both their forearms. The nurse has concerns
about the bruising and asks the client's partner how long the bruising has been
there. The client's partner reports they are not sure.
Which of the following medications should the nurse suspect is responsible for the
client's bruising? (Select all that apply.)
Atorvastatin (Lipitor)
Clopidogrel (Plavix)
Aspirin (Bayer)
Losartan (Cozaar)
Docusate (Colace) - ANSWER Clopidogrel (Plavix)
Aspirin (Bayer)
Preston White
, The assistive personnel has obtained the client's vital signs Temperature 37.9° C
(100.2° F). Heart rate 104/min. Respiration 24/min, Blood Pressure 190/110 mm
Hg.
Based on the nurse's assessment findings, which of the following vital signs should
the nurse report to the provider immediately. (Select all that apply.)
Temperature
Heart rate
Respirations
Blood Pressure
SpO2 - ANSWER Blood Pressure
SpO2
Preston White
The nurse re-assesses the client's skin. The nurse observes the skin on the coccyx
as a stage 2 pressure injury that is 5 x 5 cm in size.
Which of the following interventions should the nurse plan to prevent further
breakdown of the client's skin? (Select all that apply.)
Keep head of bed elevated at 45 degrees.
Assess client's skin at least every two hours.
Encourage the client to consume 2000-3000 mL fluid/day.
Place air-powered mattress overlay on current bed mattress.
Massage reddened areas of the skin every 2 hours.
Apply a hydrogel dressing to the coccygeal pressure injury. - ANSWER Assess
client's skin at least every two hours.
Encourage the client to consume 2000-3000 mL fluid/day.