The nurse is caring for a client who had a total hip replacement seven (7) days ago. Which statement by the client requires the nurse’s immediate attention? A. I have bad muscle spasms in my lower leg of the affected extremity. B. “I just can’t ‘catch my breath’ over the past few minutes and I… Read More »
Which of the following potentially serious complications could occur with therapy for hypothyroidism? A. Acute hemolytic reaction B. Angina or cardiac arrhythmia C. Retinopathy D. Thrombocytopenia Correct Answer B. Angina or cardiac arrhythmia Precipitation of angina or cardiac arrhythmia is a potentially serious complication of hypothyroidism treatment.… Read More »
When evaluating an arterial blood gas from a male client with a subdural hematoma, the nurse notes the Paco2 is 30 mm Hg. Which of the following responses best describes the result? A. Appropriate; lowering carbon dioxide (CO2) reduces intracranial pressure (ICP). B. Emergent; the client is poorly oxygenated. C. Normal. D. Significant;… Read More »
A client is admitted to the labor and delivery unit in active labor. During the examination, the nurse notes a papular lesion on the perineum. Which initial action is most appropriate? A. Document the finding B. Report the finding to the doctor C. Prepare the client for a C-section D. Continue primary care… Read More »
Which of the following diagnostic tools is most commonly used to determine the location of myocardial damage? A. Cardiac catheterization B. Cardiac enzymes C. Echocardiogram D. Electrocardiogram Correct Answer: D. Electrocardiogram The ECG is the quickest, most accurate, and most widely used tool to determine the location of myocardial… Read More »
On a follow-up visit after having a vaginal hysterectomy, a 32-year-old patient has a decreased hematocrit level. Which of the following complications does this suggest? A. Hematoma B. Hypovolemia C. Infection D. Pulmonary embolus (PE) Correct Answer: A. Hematoma A decreased hematocrit level is a sign of… Read More »
Which individual is at the greatest risk for developing hypertension? A. 45-year-old African-American attorney B. 60-year-old Asian-American shop owner C. 40-year-old Caucasian nurse D. 55-year-old Hispanic teacher Correct Answer: A: 45-year-old African American attorney Option A: African-Americans develop high blood pressure at younger ages than other groups in the US.… Read More »
A nurse assigned to the emergency department evaluates a patient who underwent fiberoptic colonoscopy 18 hours previously. The patient reports increasing abdominal pain, fever, and chills. Which of the following conditions poses the most immediate concern? A. Bowel perforation B. Viral gastroenteritis C. Colon cancer D. Diverticulitis Correct Answer:… Read More »
A 15-year-old primigravida is admitted with a tentative diagnosis of HELLP syndrome. Which laboratory finding is associated with HELLP syndrome? A. Elevated blood glucose B. Elevated platelet count C. Elevated creatinine clearance D. Elevated hepatic enzymes Correct Answer: D. Elevated hepatic enzymes The criteria for HELLP is… Read More »
Randy has undergone a kidney transplant, what assessment would prompt Nurse Katrina to suspect organ rejection? A. Sudden weight loss B. Polyuria C. Hypertension D. Shock Correct Answer: C. Hypertension Hypertension, along with fever, and tenderness over the grafted kidney, reflects acute rejection. Option A: A BMI greater… Read More »