The nurse is administering a prescribed fibrinolytic to a client who is having a myocardial infarction (MI). Which adverse effect does the nurse monitor for?

a. Bleeding
b. Orthostatic hypotension
c. Deep vein thrombosis
d. Nausea and vomiting


A
A fibrinolytic lyses any clots in the body, thus causing an increased risk for bleeding. Fibrinolytic therapy does not place the client at risk for hypotension, thrombosis, or nausea and vomiting.

Nursing

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The nurse is caring for a client admitted with a grade 3 heart murmur heard during systole. The nurse would suspect which of the following cardiac conditions? Standard Text: Select all that apply

1. Mitral regurgitation 2. Mitral stenosis 3. Aortic stenosis 4. Pulmonic stenosis 5. Tricuspid stenosis

Nursing

A nurse learned that a client was taken to the hospital with carbon monoxide poisoning after neglecting to turn off the car parked in the garage. Which of the following would be the most appropriate intervention to suggest at the next nursing visit?

a. Encourage the client to leave one window open a crack, so there is always a constant supply of fresh air from outside the home. b. Advise the client to install a carbon monoxide detector in the home. c. Suggest that the family move to a house with a detached garage. d. Teach the family the symptoms of breathing carbon monoxide gas so they can act quickly to get out of the house.

Nursing

The current environment requires a concerted national effort including all levels of government to prevent, prepare for, respond to, and recover from major disasters. The National Response Plan was formed under Presidential directives

The purpose of this plan is to create: 1. A new branch of government that deals with bioterrorism 2. A way for the Red Cross to carry out its mission 3. A unified, all-discipline, all-hazards approach to domestic incident management 4. An extension of presidential power to act quickly to weapons of mass destruction

Nursing

The pathophysiologic process of edema is related to which mechanism?

a. Sodium depletion b. Decreased capillary hydrostatic pressure c. Increased plasma oncotic pressure d. Lymphatic obstruction

Nursing