Nokea
A teaching plan for clients discharged following treatment for a pulmonary embolus should include
- A. A diet high in vitamin K
- B. Recognizing recurrent signs of emboli
- C. Use of antiembolism stockings
- D. Signs of shock
Correct Answer: B
Rationale: Recognizing and preventing recurrence is vital.
You may also like to solve these questions
Define Unstable Angina.
- A. Chest pain at rest
- B. Chest pain during exertion
- C. Chest pain relieved by nitroglycerin
- D. None of the above
Correct Answer: A
Rationale: Unstable angina is characterized by chest pain occurring at rest and not relieved by usual treatments.
While the cardiac-vascular nurse preceptor is orienting a graduate nurse on the telemetry unit, a patient experiences cardiac arrest. Which action by the preceptor, during the emergency cardiac care procedure, facilitates the graduate nurse's competence and professional development?
- A. Asking the graduate nurse to review the policy and procedure for cardiac arrest.
- B. Assigning the graduate nurse to comfort the family during the arrest.
- C. Directing the graduate nurse to attempt IV access.
- D. Involving the graduate nurse in the resuscitation by assigning a basic task.
Correct Answer: D
Rationale: Assigning a basic task allows the graduate nurse to participate and gain experience while ensuring patient safety.
The client is taking an ACE inhibitor. What is a contraindication to taking this drug?
- A. Hypertension
- B. Bronchospasm
- C. Renal artery stenosis
- D. Heart failure
Correct Answer: C
Rationale: The correct answer is C: Renal artery stenosis. ACE inhibitors can cause a decrease in renal blood flow, potentially worsening renal function in patients with renal artery stenosis. This is a contraindication because it can lead to further renal damage and potentially acute renal failure. Hypertension (Choice A) is actually an indication for ACE inhibitors as they help lower blood pressure. Bronchospasm (Choice B) is not a contraindication for ACE inhibitors. Heart failure (Choice D) is also not a contraindication, as ACE inhibitors are commonly used to treat heart failure by reducing the workload on the heart.
What organism causes endocarditis in 55% of cases?
- A. Staphylococci
- B. Streptococci
- C. Enterococci
- D. HACEK Group
Correct Answer: B
Rationale: Streptococci are the most common cause of endocarditis.
A patient is suspected of having a decreased cardiac output due to dysrhythmias. Which of the following assessments would be included in a decreased cardiac output? Select all that apply
- A. Elevated jugular venous distention
- B. Polyuria
- C. Full and bounding pulses
- D. Diaphoresis
Correct Answer: A
Rationale: The correct answer is A: Elevated jugular venous distention. This is a common sign of decreased cardiac output as it indicates increased central venous pressure due to impaired cardiac function. Elevated JVD reflects inadequate cardiac output, leading to blood backing up into the jugular veins. Choices B, C, and D are incorrect. Polyuria is not typically associated with decreased cardiac output. Full and bounding pulses are usually seen in conditions of increased cardiac output, not decreased. Diaphoresis is a non-specific symptom and can be present in various conditions, not specifically indicative of decreased cardiac output.