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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.)

BMI of 20

High calcium intake

Oral contraceptive use

Immobility

Hypertension

Answer and Explanation

Correct Answer : C,D

Rationale:

A. A BMI of 20 is not typically considered a risk factor for deep vein thrombosis.

B. High calcium intake is not typically considered a risk factor for deep vein thrombosis.

C. Oral contraceptive use is a risk factor for deep vein thrombosis due to the estrogen content.

D. Immobility is a risk factor for deep vein thrombosis due to decreased venous return.

E. Hypertension is not typically considered a risk factor for deep vein thrombosis.

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Correct Answer is A

Explanation

Rationale:

A. Elevated Troponins indicate myocardial injury or infarction.

B. Elevated Creatine kinase (CK) is an enzyme found in skeletal muscle, brain, and myocardium. Elevated levels can indicate muscle damage.

C. Elevated Hemoglobin is not specific to cardiac injury.

D. Elevated B-type Natriuretic peptide (BNP) is used in the diagnosis and management of heart failure.

A. Swelling at the insertion site and cool extremity B. Oozing blood from the insertions site C. The client has not voided since returning to recovery. D. Blood pressure reading of 110/70 and heart rate of 90

Correct Answer is A

Explanation

Rationale:

A. Swelling at the insertion site and cool extremity may indicate bleeding or hematoma formation at the site.

B. Oozing blood from the insertion site is expected immediately after a cardiac catheterization.

C. The client has not voided since returning to recovery is not related to the cardiac catheterization.

D. Blood pressure reading of 110/70 and heart rate of 90 are within normal limits.

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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.)

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

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.

Correct Answer is A

Explanation

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A nurse is caring for a patient with a history of hypertension. The client reports compliance with the prescribed Thiazide medication but is complaining of generalized weakness and palpitations. The nurse should monitor the client for which potential complications of diuretics.

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Identify the following Cardiac Rhythm:

A nurse is providing teaching to a client who has a permanent pacemaker and has just had the initial pacemaker check. Which of the following client statements indicates to the nurse that the teaching was effective?

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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 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)