Question 81 When caring for a client with acute coronary syndrome who has returned to the coronary care unit after having angioplasty with stent placement, the nurse obtains the following assessment data. Which data indicate the need for immediate action by the nurse?

Intrinsic Risk Factors for fall include

Martha is a 77-year-old resident in a nursing home.  Over the past several weeks, she has displayed a gradual decrease in function and safety is now a concern. Staff has begun restraining her in her wheelchair with a posey vest as they are afraid, she will fall should she try to walk without help. At night she is restrained in bed with a roll belt with the side rails up. She is referred to the restraint committee for evaluation and recommendations.  Answer the following questions regarding Martha. Martha’s family requests that the nursing home use restraints. You educate the family on physical restraints which include all EXCEPT:

Question 65 A patient is receiving mechanical ventilation. As the nurse, you are aware that which of the following below could activate the apnea alarm for this patient?

Question 60 Which laboratory result would be most important for the nurse to report in a client who is to receive succinylcholine prior to intubation?  

Falls cause all of the following moderate to severe injuries EXCEPT:

Question 57 An experienced LPN/LVN, under the supervision of the team leader RN, is providing nursing care for a client with a respiratory problem. Which actions are appropriate to the scope of practice of an experienced LPN/LVN? (Select all that apply.)

Which of the following BEST describes Early Outpatient or Phase II of a traditional cardiac rehab structure?

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) 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?