A nurse is assessing a postpartum client.

36-year-old postpartum client who delivered twins via cesarean birth 3 weeks ago.

Reports throbbing pain as 7 on a scale of 0 to 10, swelling, discoloration, and warmth in left calf for two days. Also reports shortness of breath for the last 8 hours,

Drag words from the choices below to fill in each blank in the following sentence.

To confirm a diagnosis of DVT, the nurse anticipates provider orders for
dropdown
and
dropdown

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}

D-dimer is a blood test used to detect fibrin degradation products, which are elevated in conditions involving clot formation, such as deep vein thrombosis (DVT).
Venous duplex ultrasound is the gold standard for diagnosing DVT, as it provides real-time imaging of blood flow and clot presence in the veins.
Prothrombin time is a coagulation test used to assess clotting function but does not confirm DVT.
Chest X-ray is not used to diagnose DVT but may be ordered if a pulmonary embolism (PE) is suspected.

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Correct Answer is D

Explanation

A. Complete heart block (third-degree AV block) is characterized by a complete dissociation between atrial and ventricular activity, with P waves and QRS complexes occurring independently of each other.
B. Sinus tachycardia presents with a regular rhythm, a heart rate above 100 beats per minute, and distinct P waves preceding each QRS complex.
C. Idioventricular rhythm occurs when the heart's primary pacemakers fail, leading to a slow ventricular rate (usually 20-40 bpm) with wide QRS complexes and no preceding P waves.
D. Ventricular tachycardia (VT) is a life-threatening arrhythmia characterized by a rapid ventricular rate (typically >100 bpm), wide QRS complexes, and an absence of P waves. VT can be sustained or non-sustained and may require immediate intervention if the patient is unstable.

A. R-R is irregular B. There are absent P waves C. PR interval greater than 0.20 seconds in duration. D. The PR interval gets longer then drops.

Correct Answer is C

Explanation

A. First-degree heart block has a regular R-R interval, meaning the rhythm is typically regular.
B. The presence of P waves is a distinguishing feature of first-degree heart block. Absent P waves are more characteristic of atrial fibrillation or junctional rhythms.
C. First-degree heart block is characterized by a prolonged PR interval greater than 0.20 seconds, but all impulses are still conducted to the ventricles.
D. A progressively lengthening PR interval followed by a dropped QRS complex is indicative of second-degree Mobitz Type I (Wenckebach) heart block, not first-degree heart block.

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Naxlex Comprehensive Predictor Exams

Identify the following Cardiac Rhythm:

Correct Answer is D

Explanation

A nurse is reviewing cardiac rhythms and heart blocks for a critical care course. The nurse is aware that which of the following describes first-degree heart block?

Correct Answer is C

Explanation

A nurse is giving a presentation about preventing deep-vein thrombosis (DVT). Which of the following should the nurse include as a risk factor for this disorder? (Select all that apply.)

A nurse is assessing a patient with known mitral valve regurgitation. The nurse should expect to hear which of the following heart sounds?

A nurse is caring for a heart failure client with a history of dietary noncompliance. The nurse suspects the client has fluid volume overload. Which of the following findings should the nurse expect? (SELECT ALL THAT APPLY)

A nurse is providing discharge teaching to a client diagnosed with infective endocarditis with vegetation on the tricuspid valve. Which of the following instructions should the nurse include?

A nurse is caring for a client post-transcatheter aortic valve replacement (TAVR). During the first cardiac rehabilitation session, the client tells the nurse, "I do not need to be here. I am feeling so much better, I can do this at home." Which of the following is the appropriate nursing response?

A nurse is caring for a client with a possible acute myocardial infarction (AMI). The electrocardiogram (ECG) shows no ST segment elevations or depression. The nurse is aware that an elevation of which lab result will determine if there has been cardiac injury?

Exhibits Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.