Which toxic effect would the nurse find in a client who has overdosed on isocarboxazid? -
answer✔✔Circulatory collapse
Which explanation will the nurse give when a client asks about what causes varicose veins? -
answer✔✔"Incompetent valves of superficial veins."
Which response indicates that a beta blocker prescribed for persistent ventricular tachycardia is
working effectively? - answer✔✔Decreased heart rate
Which assessment after administration of diltiazem to a client with supraventricular tachycardia
(SVT) and a heart rate of 170 beats/minute indicates that the medication was effective? -
answer✔✔Heart rate of 98 beats/minute
Within which period of time would a nurse advise the client to anticipate pain relief will begin
when nitroglycerin sublingual tablets are prescribed for a client with the diagnosis of angina? -
answer✔✔1 to 3 minutes
Which heart rate is the maximum normal for a 16-year-old? Record - answer✔✔90
Which is the minimum heart rate of a 14-year-old? Record your answer - answer✔✔60
Which Korotkoff sound represents the diastolic blood pressure in an adolescent? -
answer✔✔Fifth
Which blood pressure is optimal for an adolescent? - answer✔✔110/65 mm Hg
Which is involved in the postprocedure nursing care of a child after left- side cardiac
catheterization? - answer✔✔Monitoring the insertion site for bleeding
Which is the purpose of encouraging active leg and foot exercises for a client who has had hip
surgery? - answer✔✔Prevent clot formation
Which immunoglobulin crosses the placenta? - answer✔✔IgG
The nurse applies a cold pack to relieve musculoskeletal pain. Which rationale explains the
analgesic properties of cold therapy - answer✔✔Causes local vasoconstriction, preventing
edema and muscle spasms
Which cytokine stimulates the liver to produce fibrinogen and protein C? -
answer✔✔Interleukin-6
The parent of an infant with heart failure questions the necessity of weighing the baby every
morning. Which would the nurse say that this daily information is important in determining? -
answer✔✔Fluid retention
The weight of a 3-month-old infant with tetralogy of Fallot has declined from the 25th percentile
to the 5th. Which mechanism would the nurse suspect is the reason for this inadequate weight
gain? - answer✔✔Inadequate oxygen perfusion leading to activity intolerance, resulting in
diminished energy to nurse
Which rationale supports the nursing intervention to turn the client with paraplegia every 1 to 2
hours? - answer✔✔To prevent development of pressure injuries
Which action would the nurse suggest when a client reports feeling faint and lightheaded upon
rising to a standing position after a discectomy and fusion surgery? - answer✔✔Have the client
sit on the edge of the bed so the nurse can hold the client upright.
Which medication may be used to treat postpartum hemorrhage? - answer✔✔Methylergonovine
Which teratogenic effect is seen because of lithium? - answer✔✔Ebstein anomaly
Which cardiovascular adverse effect would the nurse associate with the use of clomiphene? -
answer✔✔Tachycardia
The nurse understands which antihypertensive medication is contraindicated in lactating women?
- answer✔✔Atenolol
While assessing a client for the dorsalis pedis pulse, the nurse documents the reading as 1+.
Which conclusion can be inferred from this finding? - answer✔✔The pulse strength is barely
palpable.
A client, transferred to the postanesthesia care unit after a transurethral resection of the prostate
(TURP), has an intravenous (IV) line and a urinary retention catheter. During the immediate
postoperative period, for which potentially critical complication would the nurse monitor? -
answer✔✔Hemorrhage
Which instructions would the nurse share with the client being discharged after rhinoplasty? -
answer✔✔Avoid items that may trigger sneezing.
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