During a client's therapy with interleukins, the nurse monitors the client for capillary leak syndrome. Which assessment finding, if present, would indicate this problem?
A dry cough
Bruising on the skin
Bradycardia
A sudden, 15-pound weight gain
The Correct Answer is D
D. Fluid retention due to leakage of fluid leads to increase in weight
A. Capillary leak syndrome leads wet cough
B. Capillary leak syndrome leads to flushing but not bruising of the skin
C. leads to tachycardia due to reduced effective volume
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A.The charge nurse can provide support, but they are not responsible for confirming or authorizing medical orders. Telephone orders must be verified directly with the prescriber.
B.The pharmacist can review medication safety, but they cannot confirm or validate the prescriber’s order over the phone. The responsibility for clarification remains between nurse and prescriber.
C. It's the correct answer and follows the standard safety protocol for verbal/telephone orders:
- The nurse writes the order exactly as given
- Then reads it back to the prescriber verbatim
- The prescriber confirms accuracy before the call ends
This is known as read-back verification, and it reduces medication errors significantly.
D.While clarification may sometimes be needed, routinely hanging up and calling back is not standard practice and increases communication delays. The correct step is to confirm during the same call.
Correct Answer is A
Explanation
Aspirin has an antiplatelet effect. It prevents aggregation of platelets and hence the formation for the primary platelets plug. This prevent formation of thrombus as a complication of an unstable atherosclerotic plaques.
The other actions of aspirin are not related to MI
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