A male client with emphysema becomes restless and confused. What step should nurse Jasmine take next? A. Encourage the client to perform pursed-lip breathing. B. Check the client’s temperature. C. Assess the client’s potassium level. D. Increase the client’s oxygen flow rate. Correct Answer: A. Encourage the… Read More »
The immediate objective of nursing care for an overweight, mildly hypertensive male client with ureteral colic and hematuria is to decrease: A. Pain. B. Weight. C. Hematuria. D. Hypertension. Correct Answer: A. Pain. Sharp, severe pain (renal colic) radiating toward the genitalia and thigh is caused by… Read More »
A patient is admitted to the hospital with suspected polycythemia vera. Which of the following symptoms is consistent with the diagnosis? Select all that apply. A. Weight loss B. Increased clotting time C. Hypertension D. Headaches E. Polyphagia Correct Answer: B, C, and D Polycythemia vera is a condition… Read More »
Maritess was recently diagnosed with a genitourinary problem and is being examined in the emergency department. When palpating her kidneys, the nurse should keep which anatomical fact in mind? A. The left kidney usually is slightly higher than the right one. B. The kidneys are situated just above the adrenal glands. C.… Read More »
The toddler is admitted with a cardiac anomaly. The nurse is aware that the infant with a ventricular septal defect will: A. Tire easily B. Grow normally C. Need more calories D. Be more susceptible to viral infections Correct Answer: A. Tire easily The toddler with a… Read More »
A client with hemophilia has a nosebleed. Which nursing action is most appropriate to control the bleeding? A. Place the client in a sitting position with the head hyperextended B. Pack the nares tightly with gauze to apply pressure to the source of bleeding C. Pinch the soft lower part of the nose for… Read More »
Which of the following clients is at greatest risk for digitalis toxicity? A. A 25-year-old client with congenital heart disease. B. A 50-year-old client with CHF. C. A 60-year-old client after myocardial infarction. D. An 80-year-old client with CHF. Correct Answer: D. An 80-year-old client with CHF.… Read More »
Class IA antiarrhythmic agents have little effect on: A. AV node B. SA node C. Purkinje fibers D. Bundle of His Correct Answer: B. SA node Class IA antiarrhythmics have little effect on the SA node. It causes moderate degree blockage of fast sodium channels. Drugs include… Read More »
Which of the following drugs can cause severe hematologic disorders? A. digoxin (Lanoxin) B. quinidine (Cardioquin) C. disopyramide (Norpace) D. procainamide (Pronestyl) Correct Answer: D. procainamide (Pronestyl) Pronestyl is known for this serious side effect. Associate Pronestyl with plasma — P and P. This drug is known… Read More »
Which of the following ECG findings alerts the nurse that the client needs an antiarrhythmic? A. Normal sinus rhythm B. Sinus bradycardia C. Sinus arrhythmia D. Frequent ventricular ectopy Correct Answer: D. Frequent ventricular ectopy Ventricular ectopy can be a life-threatening arrhythmia; therefore, the client needs an… Read More »