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 C

Explanation

A. Holding all medications is not necessary; only certain medications that affect heart rate or blood pressure are held.
B. Keflex (Cephalexin) is an antibiotic and does not affect stress test results, so it should not be held.
C. Tenormin (Atenolol) is a beta-blocker that reduces heart rate and can interfere with the stress test by blunting the expected heart rate response. Beta-blockers are typically held before an exercise stress test.
D. Heparin is an anticoagulant and does not impact the stress test results.

A. New systolic murmur B. Diminished breath sounds C. Diminished heart sounds D. Increased blood pressure

Correct Answer is C

Explanation

A. A new systolic murmur is more indicative of valvular dysfunction or a septal defect rather than pericardial effusion.
B. Diminished breath sounds may be associated with atelectasis or pleural effusion but are not a hallmark finding of pericardial effusion.
C. Diminished heart sounds occur due to fluid accumulation in the pericardial sac, which muffles heart tones and is a key sign of pericardial effusion.
D. Increased blood pressure is not characteristic of pericardial effusion. Instead, pericardial effusion can lead to cardiac tamponade, which typically causes hypotension.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is scheduled for an exercise stress test. Which of the following medications should the nurse hold the morning of the stress test?

Correct Answer is C

Explanation

A nurse is caring for a client in a critical care unit who is 4 hours post-operative coronary artery bypass surgery. The nurse performs the reassessment and suspects the client may be developing a pericardial effusion. What assessment findings would the nurse note in this case?

Correct Answer is C

Explanation

A nurse is caring for a client diagnosed with atrial fibrillation who is receiving continuous IV heparin. Which of the following findings is the nurse's priority?

A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure. Which of the following instructions should the nurse include in the teaching?

A nurse is caring for a client post-cardiac catheterization with a right radial artery puncture site. The nurse performs which priority assessment on arrival to the unit?

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 caring for a client who has hypertension and has a potassium level of 6.8 mEq/L. Which of the following actions should the nurse take?

A nurse is caring for a client with sudden onset of chest pain, the nurse completes the electrocardiogram (ECG). The nurse understands that this client is having what type of acute coronary syndrome?

A nurse is caring for a patient diagnosed with infectious endocarditis. The nurse is aware that which of the following are potential assessment findings? (SELECT ALL THAT APPLY)

A nurse is caring for a patient with a history of hypertension. The client reports compliance with the prescribed thiazide medication but is complaining of generalized weakness and palpitations. The nurse should monitor the client for which potential complications of diuretics?