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:

Petechiae

Slowing pulse rate

Confusion

Pruritus

Answer and Explanation

The Correct Answer is A

Rationale:

A. Petechiae are small, pinpoint red or purple spots on the skin that may indicate bleeding or thrombocytopenia, which can be a side effect of heparin therapy.

B. Slowing pulse rate is not typically associated with heparin therapy.

C. Confusion is not typically associated with heparin therapy.

D. Pruritus (itching) is not typically associated with heparin therapy.

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Correct Answer is D

Explanation

Rationale:

A. Hypertensive crisis is not a common complication of atrial fibrillation.

B. Cardiogenic shock is not a common complication of atrial fibrillation.

C. Flash pulmonary edema is not a common complication of atrial fibrillation.

D. Atrial fibrillation can lead to the formation of blood clots in the atria, which can then travel to the brain and cause a stroke or embolic cerebral vascular accident.

A. The client will need annual flu vaccine B. Update Covid 19 vaccination C. You will require antibiotics before dental work. D. Avoid sick contacts

Correct Answer is C

Explanation

Rationale:

A. The client may need an annual flu vaccine, but this is not specific to infective endocarditis.

B. Updating the Covid-19 vaccination is important, but this is not specific to infective endocarditis.

C. The client will require antibiotics before dental work to prevent the spread of bacteria from the mouth to the heart.

D. Avoiding sick contacts is important for general health but is not specific to infective endocarditis.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client diagnosed with heart failure (HF) and atrial fibrillation. The client reports feeling of palpitations and shortness of breath. The nurse is aware that clients Atrial Fibrillation (AF) are at risk for which complication?

Correct Answer is D

Explanation

A nurse is caring for a client with infective endocarditis with involvement of the tricuspid valve. Which of the following is the appropriate education the nurse should provide to the client prior to discharge.

Correct Answer is C

Explanation

A nurse is reviewing blood pressure classifications with a group of nurses at an in-service meeting. Which of the following should the nurse include as a risk factor for the development of hypertension?

A nurse is caring for a client post cardiac catheterization via the right groin site. The nurse is aware that which of the following findings needs to be reported to the interventional cardiologist as soon as it is identified.

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?

A nurse is caring for a client with heart failure (HF) and preparing to give a daily dose of Digoxin (Lanoxin). The nurse understands the rationale for giving this medication for HF is which of the following?

A nurse is caring for a client diagnosed with atrial fibrillation and is receiving 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 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 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.)