Author: Anonymous

47. A client is admitted to the hospital after sustaining abdominal injuries and a broken femur following a motor vehicle accident. The nurse receives report that the client was pale, diaphoretic, and incoherent with vital signs 98.0 F-130-34-50/40 upon ambulance transfer.  The nurse anticipates the client has what medical condition?

54. A nurse is collecting data on a client who has infective endocarditis. The nurse should recognize which finding is the priority to report to the health care provider?

55. A nurse is a clinic is reviewing teaching about food choices with a client who has recently begun taking warfarin. The nurse should instruct the client to limit consumption of which foods?

17. The nurse has administered nitroglycerin and furosemide for pulmonary edema secondary to heart failure. Which is the priority nursing intervention?

4. A client with the new diagnosis of atrial fibrillation is prescribed warfarin 5 mg daily. The client’s INR level is 2.3 one week after starting the prescription.  The nurse will anticipate which prescription from the health care provider?

21. A nurse is caring for a client who has heart failure and has been taking digoxin 0.25 mg daily. The client refuses breakfast and reports nausea. Which action should the nurse take first?

42. A nurse is reinforcing discharge teaching with a client who was recently diagnosed with heart failure. Which statement should the nurse include in the teaching?

46. A client recovering from a myocardial infarction develops acute bacterial pericarditis. Which medication would the nurse anticipate being prescribed for the client?

33. A nurse is giving a presentation to a community group about preventing atherosclerosis. Which should the nurse include as a modifiable risk factor for this disorder?

53. A nurse is collecting data from a client who is suspected of having an acute myocardial infarction (MI). Which clinical manifestation should the nurse expect to find?  Select all that apply