A nurse is reviewing the medical record of a client who is to undergo open heart surgery.

Which of the following findings should the nurse report to the provider as a contraindication to receiving heparin?

Thrombocytopenia.

Rheumatoid arthritis.

Thalassemia.

COPD.

Answer and Explanation

The Correct Answer is A

Thrombocytopenia, or low platelet count, is a contraindication to receiving heparin.
Rheumatoid arthritis is not a contraindication to receiving heparin.
Thalassemia is not a contraindication to receiving heparin.
COPD is not a contraindication to receiving heparin.

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Correct Answer is D

Explanation

The nurse should plan to offer frequent, high-carbohydrate meals to the client who is receiving radiation and reports nausea since the therapy was initiated.
Eating smaller, more frequent meals rather than three large meals a day can help decrease nausea.
Choice A is incorrect because offering highly seasoned foods may not help with nausea.
Choice B is incorrect because offering hot beverages with meals may not help with nausea.
Choice C is incorrect because offering a snack prior to radiation therapy may not help with nausea.

A. "Itching indicates you are having an allergic reaction to the medication.". B. "Monitor urinary output for retention.". C. "Restrict fluid intake if you experience constipation.". D. "Avoid taking antiemetics with the medication.".

Correct Answer is B

Explanation

“Monitor urinary output for retention.” Urinary retention is a common side effect of opioid use and should be monitored.
Choice A is not correct because itching can be a side effect of opioids and does not necessarily indicate an allergic reaction.
Choice C is not correct because restricting fluid intake can worsen constipation.
Choice D is not correct because antiemetics may be prescribed to manage nausea and vomiting, which are common side effects of opioids.

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A nurse is reviewing the medical record of a client who is to undergo open heart surgery. Which of the following findings should the nurse report to the provider as a contraindication to receiving heparin?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is receiving radiation. The client reports nausea since the therapy was initiated. Which of the following considerations should the nurse include when planning the client's meals?

Correct Answer is D

Explanation

A nurse is providing teaching to a client who is receiving opioids for pain management. Which of the following information should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is reviewing the medical record of a client who is scheduled for a CT scan with contrast media. Which of the following medications should the nurse instruct the client to withhold for 48 hr following the procedure?

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A nurse is assessing a client who is preoperative and reports an allergy to bananas. The nurse should recognize that the client is at risk for an allergic cross-reactivity to which of the following substances?

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A nurse is reviewing the medical record of a client who is to undergo open heart surgery.

Which of the following findings should the nurse report to the provider as a contraindication to receiving heparin?