Exam 16: Perfusion

A nurse working in the neonatal intensive care unit (NICU)is caring for a preterm infant with a congenital heart defect.When planning this infant's care,which should the nurse take into consideration regarding how this conditions are characterized?

A client has a nighttime cough related to taking enalapril (Vasotec).Which nursing intervention is most appropriate to promote rest for this client?

A client receiving heparin therapy for deep venous thrombosis (DVT)complains of severe chest pain and shortness of breath.Suspecting a pulmonary embolism,which is the priority action by the nurse?

A client with a suspected transient ischemic attack (TIA)presents to the emergency department with aphasia.Based on this data,the nurse plans care based on ischemia to which portion of the brain?

The nurse is planning an educational program to instruct clients on disseminating intravascular coagulation (DIC).What should the nurse include as risk factors for this health problem? Select all that apply.

A nurse working on an antepartum unit is providing care for a client with preeclampsia.Which clinical manifestation does the nurse anticipate for this client?

The nurse explains the purpose of an infusion of albumin 5% to a client recovering from hypovolemic shock.Which statement indicates that the client understands the instructions?

The nurse is preparing to conduct a cardiac assessment for a pediatric client.Which location will the nurse use when auscultating the apical pulse?

A nurse is caring for a client with cardiomyopathy who has a nursing diagnosis of Activity Intolerance.Which intervention is inappropriate for this nursing diagnosis?

A client recovering from a cesarean section is afebrile but is experiencing tenderness,localized heat,and redness of the left leg.Which intervention is the most appropriate based on this data?

A client being treated for a deep venous thrombosis (DVT)is experiencing pain.Which interventions by the nurse are appropriate to assist this client? Select all that apply.

The community nurse is caring for a client who is 32 weeks pregnant and diagnosed with preeclampsia.Which statement indicates that the client requires additional teaching?

The nurse is evaluating teaching provided to a client with peripheral vascular disease (PVD).Which client observation indicates teaching has been effective?

The nurse is assessing a client who is in the third trimester of pregnancy.Which finding would require immediate intervention by the nurse?

A nurse working on the antepartum unit cares for clients with preeclampsia.When teaching family members about the cause of the condition,which does the nurse include?

A nurse is teaching a group of pregnant clients regarding seizures associated with eclampsia.The nurse will include which statement?

A baby will be having surgery to correct a congenital heart defect.On which topic should the parents be instructed regarding the care of the child before surgery?

A nurse is performing an assessment on a client diagnosed with aortic stenosis.At which location will the nurse hear the client's murmur best?

The nurse is planning care for a newly admitted client diagnosed with pulmonary embolism.The nurse anticipates the client will need anticoagulant therapy.What is true regarding this therapy for the treatment of this condition?

A nurse working in the intensive care unit (ICU)is caring for a client in progressive hemorrhagic shock.When planning care for this client,which does the nurse anticipate?