A client with chest pain is scheduled for blood work to check his heart damage. Which laboratory study should the nurse expect to be prescribed for this client?

1. Creatine kinase (CK)
2. Cardiac muscle troponin
3. Atrial natriuretic factor (ANF)
4. B-natriuretic peptide (BNP)


Answer: 2

1. CK is more general, found in both cardiac and skeletal muscle.
2. Cardiac muscle troponin is a sensitive indicator of heart muscle damage.
3. ANF is more indicative of heart failure.
4. BNP is more indicative of heart failure.

Nursing

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The nurse and a client talk about Alcoholics Anonymous (AA). The client asks, "What's AA all about?" Which reply by the nurse best describes AA?

1. "It's a group that learns about drinking from a group leader." 2. "It's a form of group therapy led by a psychiatrist." 3. "It's a group that advocates strong punishment for drunk drivers." 4. "It's a self-help group where the norm is sobriety."

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A postpartum client asks, "Will these stretch marks go away?" Which is the nurse's best response?

a. "No, never." b. "Yes, eventually." c. "They will fade to silvery lines but won't disappear completely." d. "They will continue to fade and should be gone by your 6-week checkup."

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An elderly client presents with an unexplained with loss of 15 lbs in the last month. After completing a nutritional assessment, the nurse recognizes that undernutrition occurs because of:

1. Decrease nutritional needs. 2. Decreased nutrient losses. 3. Decreased intake. 4. Decreased and early satiety.

Nursing

Which laboratory result for a patient with multifocal premature ventricular contractions (PVCs) is most important for the nurse to communicate to the health care provider?

a. Blood glucose 243 mg/dL b. Serum chloride 92 mEq/L c. Serum sodium 134 mEq/L d. Serum potassium 2.9 mEq/L

Nursing