A nurse is reinforcing teaching with a client who is scheduled for a cardiac catheterization. Which of the following should the nurse tell the client to expect during injection of the contrast medium?

Numbness in the fingertips

Urge to urinate

Pain in the jawline

Feeling of heat

Answer and Explanation

The Correct Answer is D

The correct answer is choice D. During injection of the contrast medium, the client may experience a feeling of heat. Choices A and C are incorrect because numbness in the fingertips and pain in the jawline are not expected during the procedure. Choice B is incorrect because the urge to urinate is associated with cystoscopy. Choice A is not correct because numbness in the fingertips is not expected during the procedure. Choice B is not correct because the urge to urinate is associated with cystoscopy. Choice C is not correct because pain in the jawline is not expected during the procedure.

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Correct Answer is A

Explanation

Epoetin alfa is a medication used to stimulate erythropoiesis, the production of red blood cells. An increase in the client's hemoglobin level indicates that the medication has been effective. The normal range of hemoglobin for adult females is 12-16 g/dL and for adult males is 13.5-17.5 g/dL. A hemoglobin level of 11 g/dL is slightly below the normal range, but it is an improvement from a lower level. Choice B, WBC count 9,000/mm3 is unrelated to the medication and is within the normal range. Choice

C, total calcium 10 mg/dL, and choice D, PT 12 seconds, are also unrelated to the medication and are within the normal range.

Choice B (WBC count 9,000/mm3) is not an answer because it is unrelated to the medication and is within the normal range.

Choice C (total calcium 10 mg/dL) is not an answer because it is unrelated to the medication and is within the normal range.

Choice D (PT 12 seconds) is not an answer because it is unrelated to the medication and is within the normal range.

A. Moderate amount of serosanguineous drainage on dressings B. Serum calcium level 9.2 mg/dL C. Report of a sore throat D. Oral temperature 39° C (102.2° F)

Correct Answer is D

Explanation

The correct answer is choice D. The nurse should identify an oral temperature of 39°C (102.2°F) as the priority finding in a client who is postoperative following a total thyroidectomy for hyperthyroidism. An elevated temperature can indicate infection, which is a risk after surgery. The nurse should report this finding to the provider immediately.

Choices A, B, and C are incorrect because moderate amount of serosanguineous drainage on dressings, serum calcium level 9.2 mg/dL, and report of a sore throat, respectively, are expected findings after a total thyroidectomy and do not require immediate action.

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A nurse is reinforcing teaching with a client who is scheduled for a cardiac catheterization. Which of the following should the nurse tell the client to expect during injection of the contrast medium?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has been receiving epoetin alfa in preparation for a hip arthroplasty. Which of the following findings indicate that the medication has been effective?

Correct Answer is A

Explanation

A nurse is caring for a client who is postoperative following a total thyroidectomy for hyperthyroidism. Which of the following findings should the nurse identify as the priority?

Correct Answer is D

Explanation

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