The client admitted 2 days earlier that a lung resection accidentally pulls out the chest tube. Which action by the nurse indicates understanding of the management of chest tubes?         A. Order a chest x-ray      B. Reinsert the tube      C. Cover the insertion site with a Vaseline gauze      D. Call the doctor… Read More »

A client being treated with sodium warfarin has a Protime of 120 seconds. Which intervention would be most important to include in the nursing care plan?         A. Assess for signs of abnormal bleeding      B. Anticipate an increase in the Coumadin dosage      C. Instruct the client regarding the drug therapy      D. Increase the frequency… Read More »

A client has been diagnosed with Disseminated Intravascular Coagulation (DIC). Which of the following is contraindicated with the client?         A. Administering Heparin      B. Administering Coumadin      C. Treating the underlying cause      D. Replacing depleted blood products           Correct Answer: B. Administering Coumadin Disseminated Intravascular Coagulation (DIC) has not been… Read More »

Situation: Francis, age 46 is admitted to the hospital with a diagnosis of Chronic Lymphocytic Leukemia. The treatment for patients with leukemia is bone marrow transplantation. Which statement about bone marrow transplantation is not correct?         A. The patient is under local anesthesia during the procedure.      B. The aspirated bone marrow is mixed with heparin.   … Read More »

Kristine is scheduled for a bronchoscopy. When teaching Kristine what to expect afterward, the nurse’s highest priority of information would be:         A. Food and fluids will be withheld for at least 2 hours.      B. Warm saline gargles will be done q 2h.      C. Coughing and deep-breathing exercises will be done q2h.      D. Only… Read More »

What is the definitive test used to diagnose an abdominal aortic aneurysm?         A. Abdominal X-ray      B. Arteriogram      C. CT scan      D. Ultrasound           Correct Answer: B. Arteriogram An arteriogram accurately and directly depicts the vasculature; therefore, it clearly delineates the vessels and any abnormalities. Option A: An abdominal aneurysm… Read More »

Which of the following complications is of greatest concern when caring for a preoperative abdominal aneurysm client?         A. HPN      B. Aneurysm rupture      C. Cardiac arrhythmias      D. Diminished pedal pulses           Correct Answer: B. Aneurysm rupture Rupture of an aneurysm is a life-threatening emergency and is of the greatest… Read More »

Diagnostic assessment of Francis would probably not reveal:         A. Predominance of lymphoblasts      B. Leukocytosis      C. Abnormal blast cells in the bone marrow      D. Elevated thrombocyte counts           Correct Answer: B. Leukocytosis Chronic Lymphocytic leukemia (CLL) is characterized by increased production of leukocytes and lymphocytes resulting in leukocytosis, and… Read More »

Robert, a 57-year-old client with acute arterial occlusion of the left leg undergoes an emergency embolectomy. Six hours later, the nurse isn’t able to obtain pulses in his left foot using Doppler ultrasound. The nurse immediately notifies the physician and asks her to prepare the client for surgery. As the nurse enters the client’s room… Read More »

Jestoni with chronic renal failure (CRF) is admitted to the urology unit. The nurse is aware that the diagnostic test is consistent with CRF if the result is:         A. Increased pH with decreased hydrogen ions.      B. Increased serum levels of potassium, magnesium, and calcium.      C. Blood urea nitrogen (BUN) 100 mg/dl and… Read More »