A nurse is collecting data from a client who has anemia due to excess blood loss during surgery causing a decrease in blood flow/perfusion in the patient. The patient's vital signs are as follows: BP 100/60. HR 122. Resp 24, SPO2 92%. The nurse should expect which of the following findings/symptoms?

Dyspnea on exertion

Respiratory depression

Intense abdominal pain

Bradycardia

Answer and Explanation

The Correct Answer is A

A. Dyspnea on exertion: Anemia from blood loss reduces oxygen-carrying capacity, leading to symptoms like fatigue and dyspnea on exertion. The patient's low SpO₂, tachycardia, and increased respiratory rate are consistent with this finding.

B. Respiratory depression: Respiratory depression is typically associated with narcotics or other depressants, not anemia due to blood loss. The increased respiratory rate suggests a compensatory mechanism for decreased oxygenation, not depression.

C. Intense abdominal pain: While abdominal pain could be present in some conditions, it is not a direct symptom of anemia due to surgical blood loss and decreased perfusion.

D. Bradycardia: Anemia usually causes tachycardia (increased heart rate) as the body compensates for the decreased oxygenation, not bradycardia (slow heart rate). Therefore, bradycardia is unlikely in this case.

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

Explanation

A. Smoking: Smoking is a major modifiable risk factor for atherosclerosis. Cessation can significantly reduce the risk of disease progression.

B. Obesity: Obesity is a modifiable risk factor. Weight loss through diet and exercise can help lower the risk of atherosclerosis.

C. Genetic predisposition: Genetic predisposition is a non-modifiable risk factor. It cannot be changed or controlled, so it is not considered a modifiable factor.

D. Hypertension: Hypertension is a modifiable risk factor, as it can be managed through lifestyle changes and medication.

E. Hypercholesterolemia: Hypercholesterolemia (high cholesterol levels) is a modifiable risk factor because it can be controlled through diet, exercise, and medication.

A. 42 units B. 32 units C. 14 units D. 28 units

Correct Answer is A

Explanation

A. 42 units: The nurse needs to prepare 14 units of regular insulin and 28 units of NPH insulin, for a total of 42 units. Both insulins can be combined in the same syringe.

B. 32 units: This option underestimates the total units. The correct total is 42 units, not 32.

C. 14 units: This only accounts for the regular insulin dose. The client also requires 28 units of NPH insulin.

D. 28 units: This only accounts for the NPH insulin dose. The client also requires 14 units of regular insulin.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is giving a presentation to a community group about preventing atherosclerosis. Which of the following should the nurse include as a modifiable risk factor for this disorder? (Select all that apply.)

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

Explanation

A nurse is preparing to administer morning insulin to a client who has a prescription for 14 units of regular insulin and 28 units of NPH insulin subcutaneous daily. What is the total number of units of insulin that the nurse should prepare in the insulin syringe?

Correct Answer is A

Explanation

A nurse is collecting data about a client's circulatory system. Which of the following pulse sites should the nurse avoid checking bilaterally at the same time?

A nurse is reinforcing teaching with a client who has hypertension and is taking propranolol. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is reinforcing teaching about the Mediterranean diet with a client who is at risk for hypertension. Which of the following statements by the client indicates a need for further teaching?

A nurse is assisting with the care of a client 2 hr postoperative following a cardiac catheterization. Which of the following actions should the nurse take?

A nurse is assisting with the admission of a client who has a history of heart failure. Exhibits Which of the following findings require immediate follow-up by the nurse? Select all that apply.

While auscultating a client's heart sounds, the nurse hears turbulence between S1 and S2. The nurse should document this finding as which of the following?

A nurse is caring for a client who has hypertension and recently developed drooping facial features. When contacting the provider, which of the following statements should the nurse include as part of the background component of the SBAR communication tool?