Which of the following patients would not be a candidate for drug therapy with a thrombolytic drug?
a. A patient with a pulmonary embolism
b. A patient with an acute myocardial infarction
c. A patient with a confirmed ischemic cerebrovascular accident
d. A pregnant patient with a deep venous thrombosis
ANS: D
The use of thrombolytic drugs is generally contraindicated during pregnancy.
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A patient is admitted to the intensive care unit with status asthmaticus. The patient is administered high doses of nebulized albuterol (Proventil). What electrolyte imbalance should the nurse expect with this patient?
A) Hyperkalemia B) Hypermagnesemia C) Hypocalcemia D) Hypokalemia
A client has been admitted with chronic obstructive pulmonary disease. Diagnostic tests have been ordered. Which of the tests will provide the most accurate indicator of the client's acid-base balance?
A) Arterial blood gases (ABGs) B) Pulse oximetry C) Sputum studies D) Bronchoscopy
A nurse who provides care on a reconstructive orthopedic unit has walked past the room of a patient who is receiving balanced suspension traction for the treatment of a femoral head fracture
The nurse observes a nursing assistant lifting the suspended weights to facilitate positioning a bedpan under the patient. How should the nurse best follow-up this observation? A) Ensure the nursing assistant knows that such transfers must be performed quickly and efficiently. B) Assess the patient for the ability to transfer to a commode rather than using a bedpan. C) Teach the nursing assistant that weights should not be removed from traction, except in an emergency. D) Teach the nursing assistant to apply temporary weights to compensate for positional changes.
The nurse is caring for a client who experienced the birth of a stillborn son earlier in the day. The client comes from a culture that is heavily paternalistic, and emphasizes the importance of male children over female
What behavior would the nurse expect in this client? A. The client is crying inconsolably. B. The client expresses feelings of failure as a woman. C. The client requests for family members to be present. D. The client shows little emotion.