The nurse is caring for a patient whose troponin I level is elevated. Which nursing action would be appropriate?
a. Up as desired.
b. Ambulate daily.
c. Maintain bedrest.
d. Ambulate twice daily.
ANS: C
The patient is at risk for cardiac damage, so the nurse should maintain bedrest for the patient until further orders. A. B. D. These levels of activity could potentiate cardiac damage.
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After teaching a group of nursing students about the different types of chemotherapeutic agents used to treat breast cancer, the instructor determines that the teaching was successful when the students identify which of the following as an example of
a selective estrogen receptor modulator (SERM)? (Select all that apply.) A) Tamoxifen B) Letrozole C) Raloxifene D) Exemestane E) Anastrozole
A nurse is preparing to administer two drugs at the same time to a client via a double-lumen midline catheter. Which action by the nurse is most important?
a. Check the two drugs for compatibility. b. Compare the recommended infusion times. c. Schedule any post-infusion lab draws. d. Flush both lumens with saline before starting the infusion.
The nurse is caring for a client after a Whipple procedure. Which manifestations might indicate that a complication from the operation has occurred? (Select all that apply.)
a. Urinary retention b. Substernal chest pain c. Shortness of breath d. Lack of bowel sounds or flatus e. Urine output of 20 mL/6 hr
Your client presents with generalized weakness, muscle cramps, confusion, heart dysrhythmias and respiratory changes. You suspect:
1. metabolic alkalosis. 2. metabolic acidosis. 3. respiratory alkalosis. 4. respiratory acidosis.