30 Questions
What pulse should the nurse palpate after a cardiac catheterization with a left antecubital insertion site?
Brachial pulse in the left arm
Which sign indicates that a client has developed a thrombus after vascular surgery?
Dull, aching calf pain
What should the nurse do when administering 2 units of packed RBCs to an older adult client?
Obtain the client's vital signs every 30 min throughout the transfusion
What manifestation should alert the nurse that a client with valvular heart disease is developing left-sided heart failure?
Breathlessness
What action should the nurse take for a client with hypertension and a potassium level of 6.8 mEq/L?
Obtain a 12-lead ECG
Why should the nurse avoid suggesting a salt substitute to a client with hypertension and a potassium level of 6.8 mEq/L?
Salt substitutes can increase potassium levels
What should the nurse monitor the client for when administering platelets?
Spontaneous bleeding
What should the nurse do first when the client reports lower back pain, feeling chilled, and itchy while receiving platelets?
Stop the infusion
What should the nurse do when the client reports pain in the jaw, back, and shoulder, and shortness of breath and nausea?
Obtain an EKG
What should the nurse do to determine if the client is experiencing a myocardial infarction?
Perform a 12-lead ECG
When should the nurse anticipate the CK isoenzymes will begin to rise if the client has had a myocardial infarction (MI)?
Within 2-4 hours
What symptom would the nurse expect to assess in a client experiencing a myocardial infarction?
All of the above
When caring for a client with tuberculosis, what personal protective equipment should the nurse wear?
OSHA-approved N95 respirator mask
What is an effective way to prevent chronic bronchitis?
Smoking cessation
What indicates that a chest tube connected to suction and a water seal drainage system is functioning properly?
Fluctuation of the fluid level within the water seal chamber
What is a common risk factor for chronic obstructive pulmonary disease?
Smoking
What should the nurse teach the client with chronic obstructive pulmonary disease to do before eating?
Rest for at least 30 minutes
What is an indication of a problem with the chest tube and water seal drainage system?
Bloody drainage in the collection chamber
When caring for a client with multiple system trauma following a motor vehicle crash, what should the nurse prioritize?
Airway protection
What respiratory pattern is characterized by breathing ranging from very deep to very shallow with periods of apnea?
Breathing ranging from very deep to very shallow with periods of apnea
What acid-base imbalance is a client at risk for developing initially with shallow and slow respirations of 9/min?
Respiratory acidosis
When planning care for a client with acute respiratory distress syndrome (ARDS), what intervention should the nurse include in the plan?
Administer low-flow oxygen continuously via nasal cannula
What is the primary focus of care for a client with multiple system trauma?
Maintaining airway patency
What is the primary goal of care for a client with ARDS?
Maintaining adequate oxygenation
What should the nurse report to the provider immediately after the removal of the client's endotracheal tube?
Stridor
What should the nurse identify as the finding of a client's chest moving inward during inspiration and bulging out during expiration?
Flail chest
What adventitious breath sound should the nurse expect to hear when auscultating the lungs of a client with pleurisy?
Loud, scratchy sounds
Which statement by the client indicates an understanding of self-management strategies for emphysema?
I will inhale slowly through pursed lips to help me breathe better.
What acid-base balance is indicated by an arterial blood gas value of pH 7.32, PaCO2 48 mm Hg, and HCO3 23 mEq/L?
Respiratory acidosis
What should the nurse identify as the finding of a client's oral secretions increasing after the removal of the endotracheal tube?
Copious oral secretions
Assess your knowledge of nursing care and cardiac catheterization procedures. Test your skills in evaluating patients and identifying potential complications.
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