The nurse is aware that the following terms used to describe reduced cardiac output and perfusion impairment due to ineffective pumping of the heart is: A. Anaphylactic shock B. Cardiogenic shock C. Distributive shock D. Myocardial infarction (MI) Correct Answer: B. Cardiogenic shock Cardiogenic shock is shock… Read More »
When giving intravenous (I.V.) phenytoin, which of the following methods should you use? A. Use an in-line filter. B. Withhold other anticonvulsants. C. Mix the drug with saline solution only. D. Flush the I.V. catheter with dextrose solution. Correct Answer: C. Mix the drug with saline solution… Read More »
The client with suspected meningitis is admitted to the unit. The doctor is performing an assessment to determine meningeal irritation and spinal nerve root inflammation. A positive Kernig’s sign is charted if the nurse notes: A. Pain on flexion of the hip and knee B. Nuchal rigidity on flexion of the neck … Read More »
The client with varicella will most likely have an order for which category of medication? A. Antibiotics B. Antipyretics C. Antivirals D. Anticoagulants Correct Answer: C. Antivirals Varicella is chickenpox. This herpes virus is treated with antiviral medications. In adults, infection tends to be more severe, and treatment with… Read More »
Claudication is a well-known effect of peripheral vascular disease. Which of the following facts about claudication is correct? Select all that apply: A. It results when oxygen demand is greater than oxygen supply. B. It is characterized by pain that often occurs during rest. C. It is a result of tissue hypoxia. … Read More »
A nurse enters a client’s room to discover that the client has no pulse or respirations. After calling for help, the first action the nurse should take is: A. Start a peripheral IV B. Initiate high-quality chest compressions C. Establish an airway D. Obtain the crash cart Correct Answer:… Read More »
Which of the following conditions is most commonly responsible for myocardial infarction? A. Aneurysm B. Heart failure C. Coronary artery thrombosis D. Renal failure Correct Answer: C. Coronary artery thrombosis Coronary artery thrombosis causes occlusion of the artery, leading to myocardial death. Myocardial infarction occurs when a coronary artery… Read More »
A client with hypertension asks the nurse which factors can cause blood pressure to drop to normal levels? A. Kidneys’ excretion to sodium only. B. Kidneys’ retention of sodium and water. C. Kidneys’ excretion of sodium and water. D. Kidneys’ retention of sodium and excretion of water. … Read More »
After surgical repair of a hip, which of the following positions is best for the patient’s legs and hips? A. Abduction B. Adduction C. Prone D. Subluxated Correct Answer: A. Abduction After surgical repair of the hip, keep the legs and hips abducted to stabilize the prosthesis… Read More »
Nurse Eve is caring for a client who had a thyroidectomy 12 hours ago for treatment of Grave’s disease. The nurse would be most concerned if which of the following was observed? A. Blood pressure 138/82, respirations 16, oral temperature 99 degrees Fahrenheit. B. The client supports his head and neck when turning his head… Read More »