ATI: Medical-Surgical: Cardiovascular and hematology – Flashcards
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A nurse is preparing to transfuse a unit of blood to a client. The nurse must verify which factor?
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Expiration date and time.
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A nurse assesses a client who has fluid volume excess. Which of the following manifestations indicates fluid volume excess?
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Jugular vein distension decreased hematocrit Increased heart rate
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A nurse is caring for a client with right sided CHF. The nurse knows that a manifestation of right sided CHF is.
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Peripheral edema
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A nurse is caring for an adult client with sickle cell disease who has a history of having received many transfusions. The nurse realizes that because of this history the client is at risk for
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iron toxicity
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A nurse is caring for a client with hemophilia who has an active bleed in a joint.
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prepare for replacement of the missing factor
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Anurse is caring for a client whose abdominal aortic aneurysm is extending
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back and abdominal pain
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A nurse is instructing a client after a MI about lifestyle changes. A client returns for a follow up visit to the cardiac clinic after hospitalization for an acute MI. Which indicates that additional teaching is needed?
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I will exercise once a week for an hour at the health club
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A nurse is caring for a client 5 days following a MI. The client has a sudden onset of SOB. The nurse notes that the clientappears air hungry and is coughing frothy, pink sputum. When auscultating breath sounds the nurse expects to hear which bilateral sound?
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crackles
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A nurse is caring for a client experiencing an acute angina attack. Monitor for?
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Transient abnormal PMI
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A nurse is caring for a postoperative client who requires 1 unit of blood because of hemorrhage that occurred during surgery. Within 30 min of hanging the unit of blood the client develops itching and hives. what action first?
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Stop the infusion of blood
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A nurse is caring for a client diagnosed with complete heart block who has a demand pacemaker inserted. The pacer is set for 72 beats/min. Which EKG pattern indicates to the nurse failure to captuer?
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Sharp spikes at 72/min; QRS complexes at 50 beats/min
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A nurse is caring for a client with aplastic anemia. The nurse expects the client to have which of the following symptoms?
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Pancytopenia, fatigue, and pale mucous membranes
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A nurse is caring for a client diagnosed with angina pectoris and is scheduled to undergo a percutaneous transluminal coronary angioplasty. The nurse explains to the client that PTCA is used to do which of the following?
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Dilate an obstructed coronary artery
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A nurse is caring for a client with pericarditis. Which of the following manifestations should the nurse expect to find on assessment?
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Dyspnea with a rapid respiratory rate
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A nurse is caring for a client following a vein ligation and stripping for varicose veins. Following surgery, the nurse should know to place the client in which of the following positions?
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Supine with the legs elevated at a 15 degree angle
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A nurse is caring for a client with a cardiac contusion. The nurse understands that blunt chest trauma commonly results in damage to which of the following?
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Right ventricle
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A nurse administered a transfusion of fresh frozen plasma to a client. Four hours later, the client has repeat laboratory work drawn. Which value should the nurse analyze to evaluate the client's response?
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Prothombin time
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A nurse is caring for a client with a history of congestive heart failure at risk for development of fluid volume excess. the nurse realizes that a late manifestation of fluid overload is which of the following?
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pitting edema of +3
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A nurse is caring for a client with pernicious anemia. The nurse should know that to treat this condition, the client will require which of the following?
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Monthly injections of vitamin B12
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A urse realizes that a client whose blood type is B positive is being transfused with a unit of O negative fresh frozen plasma. Which of the following is an appropriate nursing action to take?
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Continue to monitor the client for manifestations of transfusion reaction.
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a nurse is caring for a client who had a MI 24 hrs ago. At this time, it is essential for the nurse to look for which of the following?
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Ventricular dysrhythmia
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A nurse is caring for a client with dyspnea who is diagnosed as having congestive heart failure related to mitral stenosis. The nurse is aware the cause of the dyspnea is due to which of the follwoing?
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Fluid accumulation in the lungs
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A nurse is caring for a client on telemetry who has an irregular radial pulse. The progress notes say that the client has had atrial flutter. Which EKG pattern does the nurse recognize as corresponding to atrial flutter?
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An atrial rate of 300, with 80 QRS complex per min
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A client reports to ta nurse that she is using several herbal dietary supplements inculing flaxseed oil. The nurse recognizes that the health benefit of this supplement si to provide increased dietary
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Omega-3 fatty acids
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A nurse is caring for a client with suspected hypovolemic shock. Which solution is appropriate for the nurse to administer in this ccircumstance?
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0.9% sodium chloride
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A nurse is preparing to infuse a blood transfusion using packed red blood cells (250 ml) to a client in 4 hrs. The blood set delivers 10 gtts per ml. What is the proper drip rate to use for the unit of packed cells? (round to the nearest whole number)
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10 gtts/min
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A nurse is caring for a client who wants to know when the therapeutic results oof epoetin alfa will take effect. The nurse bases her response on the knowledge that epoetin alfa will improve hemoglobin and hematocrit levels in which of the following time frames?
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2-4 weeks
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A nurse is assessing a client in the clinic with a history of arteriosclerosis obliterans. When assessing the client's lower extremities and ankles, the nurse will expect to observe which manifestaions of this condition?
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Thin shiny skin with minimal body hair
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A nurse is caring for a client admitted with suspected dissecting aortic aneurysm. The nurse should monitor the client for which of the following?
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back pain
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A nurse is caring for a client with congestive heart failure whose electrocardiogram shows a flattening of the T wave. Which of the following lab results should the nurse anticipate with this EKG?
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Potassium 2.8 mEq/L
