A patient who is being treated for a deep vein thrombosis (DVT) complains of chest pain and shortness of breath. What should the nurse do first?
A. Measure the patient's blood pressure.
B. Assess the pulses on the extremity with the thrombosis.
C. Assess the extremity with the thrombosis.
D. Elevate the head of the bed and begin oxygen therapy.
Answer: D
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A nurse caring for a client at a health care facility has to maintain a medical record for the client. Which of the following is a use of the medical record?
A) To transmit health records between insurance companies B) To investigate the quality of care in the agency C) To inform family and others concerned about the client's care D) To release the entire health record for research
Which of the following instructions should the nurse specifically stress when administering drugs used for muscle spasm and cramping?
A) Take the drug with food. B) Stay upright for 30 minutes after taking the drugs. C) Avoid alcohol or other CNS depressants. D) Take the drug with 6 to 8 ounces of water.
Which of the following is the most common cause of pregnancy-related mortality?
A) Hemorrhage B) Embolism C) Hypertension D) Infection
The nurse is assessing a client who is experiencing a myasthenia crisis. Which diagnostic test does the nurse anticipate being ordered?
a. Babinski reflex test b. Tensilon test c. Cholinesterase challenge test d. Caloric reflex test