Question 76 A client who is recovering from an acute myocardial infarction (AMI) asks the nurse when sexual intercourse can be resumed. Which response by the nurse is best?
Question 82 A client admitted to the coronary care unit (CCU…
Question 82 A client admitted to the coronary care unit (CCU) with an ST-segment-elevation myocardial infarction (STEMI) is restless and anxious. The blood pressure is 86/40 mm/Hg and heart rate is 132 beats/min. Based on this information, which nursing diagnosis is a priority for the client?
Question 86 Which intervention should the nurse include in t…
Question 86 Which intervention should the nurse include in the plan of care for a client who has cardiogenic shock?
Question 88 The nurse educator evaluates the skills of a new…
Question 88 The nurse educator evaluates the skills of a new registered nurse caring for clients in shock. Which action by the new RN indicates a need for more education?
Question 53 What action prevents the dislodgement of a trac…
Question 53 What action prevents the dislodgement of a tracheostomy tube in the first 3 days after its placement?
All of the following are modifiable risk factors to coronary…
All of the following are modifiable risk factors to coronary diseases EXCEPT:
Question 24 An adolescent tells the school nurse, “My friend…
Question 24 An adolescent tells the school nurse, “My friend threatened to take an overdose of pills.” The nurse talks to the friend who verbalized the suicide threat. The most critical question for the nurse to ask would be:
Question 45 The nurse is caring for a client admitted with a…
Question 45 The nurse is caring for a client admitted with a history of diabetes mellitus and the following findings: Complaints of abdominal pain, nausea and vomiting, confusion, fever, flushed dry skin, pH 7.29, Bicarb 12, BP 88/58, RR 38 rapid and deep. Emergency management of this client would include what nursing care? 1. Monitor serum glucose and potassium 2. Ensure a patent airway in the client 3. Begin intravenous insulin drip at 0.2 units/kg/hour 4. Establish intravenous access with a large bore catheter 5. Begin fluid resuscitation with 0.9 NaCl at 1 liter/hour
Question 36 Which of the following represents a priority goa…
Question 36 Which of the following represents a priority goal for the client during the acute phase of Guillain-Barre syndrome?
Question 71 During the administration of the thrombolytic ag…
Question 71 During the administration of the thrombolytic agent to a client with an acute myocardial infarction, the nurse should stop the drug infusion if the client experiences