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A nurse is caring for a client who has been admitted to the medical surgical unit.

Exhibits
A nurse is assessing a client who has pulmonary edema. Which of the following findings should the nurse understand is indicative of pulmonary edema? (Select all that apply.)

Edema of the extremities

Jugular vein distention

Tachypnea

Ascites

Pink frothy sputum

Atelectasis

Answer and Explanation

Correct Answer : A,B,C,E

A. Edema of the extremities
Fluid accumulation due to poor cardiac output contributes to peripheral edema.

B. Jugular vein distention
Reflects elevated central venous pressure from fluid overload.

C. Tachypnea
Increased respiratory rate is a compensatory mechanism for impaired oxygen exchange.

D. Ascites
Associated with liver disease or right-sided heart failure, not specifically pulmonary edema.

E. Pink frothy sputum
Classic sign of pulmonary edema due to fluid in the alveoli.

F. Atelectasis
Can occur in respiratory illness but is not a hallmark sign of pulmonary edema.

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Free Nursing Study Resources

Correct Answer is ["0.25"]

Explanation

Calculation:
5 mg ÷ 20 mg/mL = 0.25 mL

A. Avoid acetaminophen. B. Use a soft toothbrush. C. Stop anticoagulant medication when your symptoms subside. D. Avoid high-impact activities. E. Wear a medical alert bracelet.

Correct Answer is ["B","D","E"]

Explanation

A. Avoid acetaminophen.
Acetaminophen is safe to use; NSAIDs should be avoided due to bleeding risk.

B. Use a soft toothbrush.
Prevents gum bleeding and injury.

C. Stop anticoagulant therapy when symptoms subside.
Dangerous. Anticoagulation must be continued as prescribed to prevent recurrence.

D. Avoid high-impact activities.
Helps reduce the risk of trauma and bleeding.

E. Wear a medical alert bracelet.
Informs healthcare providers in emergencies that the client is on anticoagulants.

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A nurse is caring for a client who has been admitted to the medical surgical unit. Exhibits A nurse is assessing a client who has pulmonary edema. Which of the following findings should the nurse understand is indicative of pulmonary edema? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer haloperidol 5 mg IM to a client. The amount available is haloperidol 20 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.25"]

Explanation

A nurse is providing discharge teaching to a client who has a pulmonary embolism and has begun anticoagulant therapy. Which of the following recommendations should the nurse make? (Select All that Apply.)

Correct Answer is ["B","D","E"]

Explanation

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A nurse is caring for a client who has been admitted to the medical surgical unit.

Exhibits
A nurse is assessing a client who has pulmonary edema. Which of the following findings should the nurse understand is indicative of pulmonary edema? (Select all that apply.)