A 45-year-old male client with leg ulcers and arterial insufficiency is admitted to the hospital. The nurse understands that leg ulcers of this nature are usually caused by: A. Decreased arterial blood flow secondary to vasoconstriction. B. Decreased arterial blood flow leading to hyperemia. C. Atherosclerotic obstruction of the arteries. D.… Read More »
Which of the following instructions should be included in the discharge teaching for a patient discharged with a transdermal nitroglycerin patch? A. “Apply the patch to a non-hairy, non-fatty area of the upper torso or arms.” B. “Apply the patch to the same site each day to maintain consistent drug absorption.” C.… Read More »
In order to prevent the development of tolerance, the nurse instructs the patient to: A. Apply the nitroglycerin patch every other day. B. Switch to sublingual nitroglycerin when the patient’s systolic blood pressure elevates to >140 mm Hg. C. Apply the nitroglycerin patch for 14 hours each and remove for 10 hours… Read More »
Direct-acting vasodilators have which of the following effects on the heart rate? A. Heart rate decreases. B. Heart rate remains significantly unchanged. C. Heart rate increases. D. Heart rate becomes irregular. Correct Answer: A. Heart rate decreases. Heart rate decreases in response to decreased blood pressure caused… Read More »
A client is wearing a continuous cardiac monitor, which begins to sound its alarm. A nurse sees no electrocardiogram complexes on the screen. The first action of the nurse is to: A. Check the client status and lead placement. B. Press the recorder button on the electrocardiogram console. C. Call the physician. D.… Read More »
When teaching a patient why spironolactone (Aldactone) and furosemide (Lasix) are prescribed together, the nurse bases teaching on the knowledge that: A. Moderate doses of two different types of diuretics are more effective than a large dose of one type. B. This combination promotes diuresis but decreases the risk of hypokalemia. C.… Read More »
A nurse is assessing the blood pressure of a client diagnosed with primary hypertension. The nurse ensures accurate measurement by avoiding which of the following? A. Seating the client with arm bared, supported, and at heart level. B. Measuring the blood pressure after the client has been seated quietly for 5 minutes. … Read More »
IV heparin therapy is ordered for a client. While implementing this order, a nurse ensures that which of the following medications is available in the nursing unit? A. Vitamin K B. Aminocaproic acid C. Potassium chloride D. Protamine sulfate Correct Answer: D. Protamine sulfate The antidote to… Read More »
A client is at risk for pulmonary embolism and is on anticoagulant therapy with warfarin (Coumadin). The client’s prothrombin time is 20 seconds, with a control of 11 seconds. The nurse assesses that this result is: A. The same as the client’s own baseline level. B. Lower than the needed therapeutic level. … Read More »
A client who has been receiving heparin therapy also is started on warfarin. The client asks a nurse why both medications are being administered. In formulating a response, the nurse incorporates the understanding that warfarin: A. Stimulates the breakdown of specific clotting factors by the liver, and it takes two (2)- three (3) days… Read More »