A clinic nurse instructs the mother of a child with sickle cell disease about the precipitating factors related to pain crisis. Which of the following, if identified by the mother as a precipitating factor, indicates the need for further instructions? A. Infection B. Trauma C. Fluid overload D. Stress … Read More »
Laboratory studies are performed for a child suspected of having iron deficiency anemia. The nurse reviews the laboratory results, knowing which of the following results would indicate this type of anemia? A. An elevated hemoglobin level. B. A decreased reticulocyte count. C. An elevated RBC count. D. Red blood cells that… Read More »
The nurse understands that the client with pernicious anemia will have which of the following distinguishing laboratory findings? A. Schilling’s test elevated B. Intrinsic factor, absent C. Sedimentation rate, 16 mm/hour D. RBCs 5.0 million Correct Answer: B. Intrinsic factor, absent. The defining characteristic of pernicious anemia,… Read More »
A pediatric nurse health educator provides a teaching session to the nursing staff regarding hemophilia. Which of the following information regarding this disorder would the nurse plan to include in the discussion? A. Hemophilia is a Y linked hereditary disorder B. Males inherit hemophilia from their fathers C. Females inherit hemophilia from… Read More »
A nurse is assessing the neurovascular of a client who has returned to the surgical nursing unit 4 hours ago after undergoing an aortoiliac bypass graft. The affected leg is warm, and the nurse notes redness and edema. The pedal pulse is palpable and unchanged from admission. The nurse interprets that the neurovascular status is:… Read More »
After open-heart surgery, a client develops a temperature of 102°F. The nurse notifies the physician because elevated temperatures: A. Increase the cardiac output. B. May indicate cerebral edema. C. May be a forerunner of hemorrhage. D. Are related to diaphoresis and possible chilling. Correct Answer: A. Increase… Read More »
During a cardiac catheterization blood samples from the right atrium, right ventricle, and pulmonary artery are analyzed for their oxygen content. Normally: A. All contain less CO2 than does pulmonary vein blood. B. All contain more oxygen than does pulmonary vein blood. C. The samples of blood all contain about the same… Read More »
The nurse prepares the client for insertion of a pulmonary artery catheter (Swan-Ganz catheter). The nurse teaches the client that the catheter will be inserted to provide information about: A. Stroke volume B. Cardiac output C. Venous pressure D. Left ventricular functioning Correct Answer: D. Left ventricular… Read More »
When preparing a client for discharge after surgery for a CABG, the nurse should teach the client that there will be: A. No further drainage from the incisions after hospitalizations. B. A mild fever and extreme fatigue for several weeks after surgery. C. Little incisional pain and tenderness after 3 to 4… Read More »
What is the most important nursing action when measuring a pulmonary capillary wedge pressure (PCWP)? A. Have the client bear down when measuring the PCWP. B. Deflate the balloon as soon as the PCWP is measured. C. Place the client in a supine position before measuring the PCWP. D. Flush the catheter with… Read More »