Author: Anonymous

1. A client is scheduled for coronary artery bypass surgery in the morning and is crying. What is the most appropriate response by the nurse?

10. The nurse is teaching a client about newly prescribed sublingual nitroglycerin to use for chest pain. Which statement indicates the client needs further teaching?

24. The nurse is caring for a client with newly diagnosed hypertension. What statement, by the client, indicates understanding of their dietary restrictions?

16. A client with heart failure is experiencing acute shortness of breath. What is the nurse’s priority action?

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?