A nurse evaluates medication administration record (MAR) listed below for a client with the following rhythm.

Lisinopril 10 mg PO daily

Digoxin 0.125 mcg PO daily

Warfarin 5 mg PO every other day

Furosemide 20 mg PO Daily

Which medication would the nurse expect to find on this client's medication administration record to prevent a common complication of this condition?

Digoxin

Warfarin

Furosemide

Lisinopril

Answer and Explanation

The Correct Answer is B

A. Digoxin is used to control the heart rate in atrial fibrillation but does not directly prevent the common complication of thromboembolism.

B. Warfarin is an anticoagulant used to prevent thromboembolic complications, such as stroke, which are common in atrial fibrillation due to the formation of clots in the atria.

C. Furosemide is a diuretic used to manage fluid retention, often in heart failure, but it does not prevent thromboembolism.

D. Lisinopril is an ACE inhibitor used to manage hypertension and heart failure, but it does not prevent thromboembolic complications.

Nursing Test Bank

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. "They will circulate my blood on a machine during the surgery.": This is correct information regarding the use of a heart-lung machine during CABG.

B. "I will need to take an aspirin every day after the surgery to keep the graft open.": Daily aspirin therapy is standard to prevent graft occlusion, indicating correct understanding.

C. "They will use an artery near my heart to go around the area that is blocked.": This accurately describes using the internal mammary artery for the bypass, showing correct knowledge.

D. "I will have small incisions in my leg where they will remove the vein.": This indicates confusion, as the internal mammary artery, not leg veins, is used in this type of CABG.

A. "The client meets the criteria for the chronic asymptomatic HIV infection phase." B. "The clients CD4+ T cell count is within normal range." C. "The client meets the criteria for the acute HIV infection phase." D. "The client has developed Acquired Immunodeficiency Syndrome (AIDS)."

Correct Answer is D

Explanation

A. Chronic asymptomatic HIV infection refers to a phase with no opportunistic infections and higher CD4+ counts.

B. A CD4+ T cell count below 200 cells/μL is abnormal and diagnostic of AIDS, not within the normal range.

C. The acute HIV infection phase occurs shortly after exposure, characterized by flu-like symptoms and high viral load, not opportunistic infections.

D. The presence of Pneumocystis jiroveci pneumonia (an AIDS-defining illness) and a CD4+ T cell count below 200 cells/μL confirms a diagnosis of AIDS.

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Test Name	Results	Reference Range
WBC	12, 000	4, 000- 11, 000
Na+	149 mEq/L	135-145 mEq/L
K+	5.0 mEq/L	3.5- 5.0 mEq/L
Cl-	110 mEq/L	96-106 mEq/L
pH	7.34	7.35-7.45
PaCO2	34 mmHg	35- 45 mmHg
PaO2	78 mm Hg	80-100 mmHg
HCO3	21 mEq/L	22- 26 mEq/L

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When evaluating the effectiveness of preoperative teaching with a client scheduled for coronary artery bypass graft (CABG) surgery using the internal mammary artery, the nurse determines that additional teaching is needed when the client says which of the following?

Correct Answer is D

Explanation

Correct Answer is D

Explanation

The post anesthesia care unit (PACU) charge nurse notes vital signs on four postoperative clients. Which client would the nurse assess first?

Physician orders Cardizem to infuse at 10 mg/hr. Available is Cardizem 125 mg in 100 ml D5W. What is the rate in ml/hr?

A client has just experienced a 90-second tonic-clonic seizure and has the following arterial blood gas results: pH 7.12, HCO3 22 mEq/L, PaCO2 55 mmHg, PaO2 60 mmHg. Which intervention is the most appropriate?

A nurse reviews a client's laboratory results. Which findings would alert the nurse to the possibility of atherosclerosis? (Select all that apply.)

A nurse is caring for four clients. Which one would the nurse see first?

The nurse observes the following EKG. Which lab would the nurse correlate with this finding?