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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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

A. "I can drink wine in moderation." Moderate wine consumption (particularly red wine) is often considered acceptable as part of the Mediterranean diet. This statement does not indicate a need for further teaching.

B. "I will limit my intake of eggs." Eggs can be consumed in moderation on the Mediterranean diet, typically no more than a few times a week. This statement reflects an understanding of the diet and does not indicate a need for further teaching.

C. "I will limit my intake of red meat to two times per week." The Mediterranean diet recommends limiting red meat consumption, but typically to less than two times per week. This statement indicates a need for further teaching as it suggests a higher frequency than recommended.

D. "I should cook with olive oil." Olive oil is a key component of the Mediterranean diet, replacing butter and other fats. This statement reflects correct understanding and does not indicate a need for further teaching.

A. (Select All that Apply.) B. Monitor your blood pressure on a regular basis C. Your cholesterol levels must be monitored monthly while taking this medication D. Report the development of a persistent dry cough. E. You diet should include plenty of potassium-rich foods daily

Correct Answer is ["A","C"]

Explanation

A. Monitor your blood pressure on a regular basis: Regular monitoring of blood pressure is important for clients taking lisinopril to ensure the medication is effectively controlling hypertension.

B. Your cholesterol levels must be monitored monthly while taking this medication: Lisinopril does not typically require monthly cholesterol monitoring. This instruction is more relevant for statins or other lipid-lowering agents.

C. Report the development of a persistent dry cough.: A dry cough is a common side effect of ACE inhibitors like lisinopril. Clients should report this side effect as it may necessitate discontinuing the medication.

D. Your diet should include plenty of potassium-rich foods daily: Lisinopril can increase potassium levels, potentially causing hyperkalemia. Clients should be advised to avoid excessive potassium intake, not to increase it.

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a young adult female client who has been prescribed lisinopril. Which of the following instructions should the nurse plan to include? (Select all that apply.)

Correct Answer is ["A","C"]

Explanation

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.)

A nurse is planning care for a group of clients on a medical-surgical unit. Which of the following actions should the nurse take first?

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 reinforcing teaching with a client about following a low-cholesterol diet after coronary artery bypass grafting. Which of the following food choices reflects the client's understanding of these dietary instructions?

A nurse is collecting data about a client's cardiac functioning. The nurse auscultates an S3 sound. Which of the following causes should the nurse suspect?

A nurse is reinforcing teaching with an older adult client who has been newly diagnosed with a heart murmur. Which of the following statements should the nurse make?

A nurse is reinforcing teaching with a client who is about to start taking captopril to treat hypertension. Which of the following instructions should the nurse include to help the client manage this medication's adverse effects?

A nurse is assisting with the care of a client following a left femoral cardiac angiography. The nurse should place a sandbag on the client over which of the following areas? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)