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 B

Explanation

A. While cardiac rehab does help recovery, this statement does not emphasize the safety and long-term benefits of supervised rehabilitation.
B. Providing education about the role of cardiac rehab is essential. Cardiac rehab monitors the client's progress and helps safely return them to an active lifestyle.
C. While this statement acknowledges the client's feelings, it does not provide enough information about the benefits of cardiac rehab.
D. This response is too authoritative and does not address the client’s concerns or autonomy.

A. Pruritus B. Petechiae C. Confusion D. Slowing pulse rate

Correct Answer is B

Explanation

A. Pruritus is not a common side effect of heparin therapy. While allergic reactions can occur, they are not the primary concern.
B. Petechiae are a sign of bleeding, which is a major side effect of heparin therapy. Heparin increases the risk of bleeding by inhibiting clot formation, and petechiae may indicate early signs of hemorrhage.
C. Confusion is not directly associated with heparin therapy unless it results from severe bleeding leading to hypoxia or shock.
D. A slowing pulse rate is not a known adverse effect of heparin. Instead, monitoring for signs of bleeding, such as bruising, hematuria, and petechiae, is the priority.

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

A nurse is caring for a client who is receiving intravenous heparin therapy for deep vein thrombosis. The nurse evaluates for side effects of this drug by observing for:

Correct Answer is B

Explanation

A nurse is caring for a client with right-sided heart failure. Which of the following symptoms should the nurse include in teaching the client about signs of worsening heart failure? (SELECT ALL THAT APPLY)

A nurse is caring for a client with a history of an abdominal aortic aneurysm (AAA). Which of the following assessments should be the nurse's priority for a client with an abdominal aortic aneurysm?

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?

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 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 in an urgent care center is assessing a client who reports a sudden onset of irregular palpitations, fatigue, and dizziness. The nurse finds a rapid and irregular heart rate with a significant pulse deficit. Which of the following dysrhythmias should the nurse expect to find on the ECG?

A nurse is caring for a client who is having an acute myocardial infarction (MI). The nurse is aware that which of the following are part of the assessment of cardiac pain? (SELECT ALL THAT APPLY).

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?