Nokea
Which complication of anticoagulant therapy should the nurse teach the client to report to the health-care provider?
- A. Gastric upset.
- B. Bleeding from any site.
- C. Constipation.
- D. Myocardial infarction.
Correct Answer: B
Rationale: Bleeding (B) is a serious anticoagulant complication, requiring HCP notification. Gastric upset (A) and constipation (C) are minor, and MI (D) is unrelated.
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Which dietary recommendation should the nurse provide to a client with coronary artery disease?
- A. Eat foods high in saturated fats.
- B. Limit intake of fruits and vegetables.
- C. Choose lean proteins and whole grains.
- D. Increase consumption of sugary drinks.
Correct Answer: C
Rationale: Lean proteins and whole grains reduce cholesterol and improve heart health.
The nurse is caring for clients on a medical floor. Which client will the nurse assess first?
- A. The client with an abdominal aortic aneurysm who is constipated.
- B. The client on bedrest who ambulated to the bathroom.
- C. The client with essential hypertension who has epistaxis and a headache.
- D. The client with arterial occlusive disease who has a decreased pedal pulse.
Correct Answer: D
Rationale: Decreased pedal pulse in arterial occlusive disease (D) suggests acute ischemia, a priority. Constipation (A), unauthorized ambulation (B), and epistaxis/headache (C) are less urgent.
Which assessment finding in a client with heart failure indicates pulmonary edema?
- A. Crackles in the lung bases
- B. Dry, nonproductive cough
- C. Bradycardia
- D. Warm, dry skin
Correct Answer: A
Rationale: Crackles in the lung bases indicate fluid in the alveoli, a hallmark of pulmonary edema.
Which complication should the nurse monitor for in a client with cardiomyopathy?
- A. Heart failure
- B. Hypoglycemia
- C. Osteoporosis
- D. Gastritis
Correct Answer: A
Rationale: Cardiomyopathy impairs heart function, increasing the risk of heart failure.
Which teaching point should the nurse include for a client with endocarditis? Select all that apply.
- A. Report fever or chills immediately.
- B. Brush teeth gently to avoid gum bleeding.
- C. Avoid sharing toothbrushes.
- D. Take antibiotics for the full course.
- E. Monitor for signs of heart failure.
- F. Limit physical activity during treatment.
Correct Answer: A,B,C,D,E,F
Rationale: Reporting symptoms, gentle oral hygiene, avoiding shared items, completing antibiotics, monitoring heart failure, and limiting activity prevent complications.