The nurse is caring for a client with symptoms of poor oxygenation to tissues. The nurse recognizes the importance of assessing which lab value? A) Sp02, B) WBC count, C) Platelet count, D) Hemoglobin level
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The nurse is caring for a client with symptoms of poor oxygenation to tissues. The nurse recognizes the importance of assessing which lab value? A) Sp02, B) WBC count, C) Platelet count, D) Hemoglobin level
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- The nurse is assessing a client recently diagnosed with leukemia . Which of the following assessment findings would support the diagnosis ? a) Blood in urine b ) Blood in stool C)Cough or hoarseness d )Petechiae or ecchymosisWhich action by the nurse is most appropriate for the patient receiving an infusion of packed red blood cells? a) Flush the IV line with normal saline before the blood is added to the infusion.b) Flush the IV line with dextrose before the blood is added to the infusion.c) Check the patient’s vital signs once the infusion is completed.d )Anticipate that flushed skin and fever are expected reactions to a blood transfusionThe nurse is preparing to give medications. Which is the most appropriate nursing action for intravenous (IV) phenytoin (Dilantin)?a )Give IV doses via rapid IV push.b) Administer in normal saline solutions.c )Administer in dextrose solutions.d )Ensure continuous infusion of the drug.
- What is a critical factor in the care of a patient with a do not resuscitate (DNR) order? A) Ensuring all staff are aware of the DNR status B) Withholding all medications and treatments C) Ignoring the patient’s comfort needs D) Encouraging family to reconsider the decisionIn the context of emergency nursing, the acronym 'AMPLE' is used to gather essential information. What does 'A' stand for? A) Age B) Allergies C) Airway status D) Alcohol useA 42-year-old man is diagnosed with acute myeloid leukemia (AML). He is scheduled for an allogeneic stem cell transplant. Which pre-transplant assessment is the HIGHEST priority for the nurse? a) Assessing emotional readiness for the transplant b) Verifying donor-recipient human leukocyte antigen (HLA) compatibility c) Performing a comprehensive dental evaluation d) Obtaining baseline pulmonary function tests (PFTs)
- Which response would the nurse expect to find in a patient with a phenytoin (Dilantin) level of 35 mcg/mL?a) Ataxiab )Hypertensionc) Seizuresd )No unusual response; this level is therapeutic.The nurse is administering lidocaine and considers which condition, if present in the patient, a caution for the use of this drug? a )Tachycardiab) Hypertensionc) Ventricular dysrhythmiasd )Renal dysfunctionA patient has been taking finasteride (Proscar) for almost a year. The nurse knows that which is most important to evaluate at this time? a) Complete blood countb )PSA levelsc) Blood pressured )Fluid retention
- While inflating the balloon of a pulmonary artery catheter (PAC) with 1.0 mL of air to obtain a pulmonary artery occlusion pressure (PAOP), the nurse encounters resistance. What is the best nursing action ? a) add an additional 0.5 mL of air to the balloon and repeat the procedure. b) Advance the catheter with the balloon deflated and repeat the procedure. c) Deflate the balloon and obtain a chest x-ray study to determine line placement. d) Lock the balloon in the inflated position and flush the distal port of the PAC with normal saline asapDuring therapy with the cytotoxic antibiotic bleomycin, the nurse will assess for a potentially serious adverse effect by monitoring a )blood urea nitrogen and creatinine levels.b )cardiac ejection fraction.c )respiratory functiond )cranial nerve function.When a drug is characterized as having a negative chrono-tropic effect, the nurse knows to expect which effect? a) Reduced blood pressure b) Decreased heart rate c) Decreased ectopic beats d) Increased force of cardiac contractions
