Retention Assessment in Nursing Care
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Retention Assessment in Nursing Care

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Questions and Answers

Which statement about cardiac markers is correct?

  • CK-MB peaks within 12 hours after an MI.
  • All cardiac markers peak at the same time after an MI.
  • Myoglobin peaks within 24 hours after an MI.
  • Troponin remains elevated for up to 2 weeks after an MI. (correct)

    • Which of the following is NOT a symptom of peripheral arterial disease (PAD)?

  • Diminished or absent pulses
  • Claudication (pain while walking)
  • Dry, shiny, and hairless skin
  • Swollen ankles and feet (correct)

    • What is the recommended treatment guideline for a patient with a suspected myocardial infarction (MI)?

  • Utilize cardiac biomarkers for diagnosis and administer thrombolytics within 10 minutes if indicated.
  • Perform a 12-lead ECG within 30 minutes of arrival and administer thrombolytics within 10 minutes if indicated.
  • Utilize cardiac biomarkers for diagnosis and administer thrombolytics within 30 minutes if indicated.
  • Perform a 12-lead ECG within 10 minutes of arrival and administer thrombolytics within 30 minutes if indicated. (correct)

    • Which of the following is NOT a modifiable risk factor for peripheral arterial disease (PAD)?

    <p>Age</p> Signup and view all the answers

    What is the recommended management strategy for Raynaud's syndrome?

    <p>Avoid triggers such as cold temperatures, smoking, and stress.</p> Signup and view all the answers

    Which of the following is an appropriate method for assessing urinary retention in a patient with an indwelling catheter?

    <p>Clamping the catheter for 4 hours, allowing the patient to void, and measuring the residual urine on two separate occasions</p> Signup and view all the answers

    Which medication is commonly used to treat bladder cancer, and what is a potential side effect that should be monitored?

    <p>Methotrexate; monitor for decreased white blood cell count</p> Signup and view all the answers

    Which of the following statements regarding the appearance and care of a stoma is correct?

    <p>A healthy stoma should have a pink or red, moist appearance, and the area should be kept clean and dry</p> Signup and view all the answers

    Which of the following is a potential complication that should be monitored after a coronary artery bypass graft (CABG) surgery?

    <p>Hematomas (bruising)</p> Signup and view all the answers

    Which of the following statements regarding cholesterol levels and their management is correct?

    <p>Triglyceride levels should be less than 150 mg/dL, and statin medications may cause side effects like muscle pain and impaired memory</p> Signup and view all the answers

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