a nurse is caring for a client who has hemophilia. The client reports pain and swelling in a joint following an injury. which of the following actions should the nurse take?
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prepare for replacement of the missing clot factor
a nurse is assessing for cardiac tamponade on a client who had coronary artery bypass grafts. Which of the following actions should the nurse take?auscultate BP pressure for pulsus paradoxusa nurse is providing teaching to a client who has anemia and a new rx for epoetin alfa. Which of the following info should the nurse include in the teaching?HTN is a common adverse effect of this meda nurse in a clinic is assessing the lower extremities and ankles of a client who has a hx of peripheral arterial dx. Which of the following findings should the nurse expect?dry, pale, skin with minimal body hair
pt can display dry, scaly, pale or mottled skin with minimal body hair d/t narrowing of arteries in the legs and feet. Common s/s of this are intermittent claudication(leg pain w/ exercise) cold or numb feet at rest, loss of hair on lower legs, weakened pulsesA nurse is caring for a client who has a demand pacemaker inserted with the rate set at 72/min. Which of the following findings should the nurse expect?tele monitoring shows QRS complexes occurring at a rate of 74/min with no pacing spikes
the nurse should not expect pacer spikes when the clients pulse is greater than the set rate of 72/mins because the client's intrinsic rate overrides the set rate of the pacemakerA nurse is assessing a client who has late stage HR and experiencing fluid volume overload. What should the nurse expect?wt gain of 1kg (2.2lbs) in 1 daya nurse is assessing a client who has pericarditis. Which of the following manifestations should the nurse expect?dyspnea with hiccups
client with pericarditis will experience dyspnea, hiccups, and non productive coughA nurse is caring for a client who had a MF 5 days ago. the client has a sudden onset of SOB and begins coughing frothy pink sputum. The nurse auscultates loud, bubbly sounds on inspiration. Which of the following adventitious breath sounds should the nurse document?coarse cracklesa nurse is reviewing lab values for an adult client who has sickle cell anemia and hx of recieving blood transfusions. For which of the following complication should the nurse monitorIron toxicity(hemosiderosis)a nurse is providing teaching about lifestyle changes to a client who had MI and has a new rx for a beta blocker. which of the following client statements indicates an understanding of the teaching?before taking my medication, i will count my radial pulsea nurse is monitoring a client who has HF r/t mitral stenosis. The client report SOB upon exertion. Which of the following conditions should the nurse expect?increased pulmonary congestion
occurs d/t rt sided HF.a nurse is completing an assessment for a client who has a hx of unstable angina. which of the following findings should the nurse expectchest pain lasting longer than 15 minsa nurse is caring for a client who is postop following vein ligation and stripping for varicose veins. which of the following actions should the nurse takeposition the client supine with his legs elevated when in bed
promotes venous return by gravitya nurse is caring for a client who has HF and whose tele reading displays a flattening of the T wave. What lab result should the nurse anticipate as the casue of this ECG change?potassium 2.8a nurse is planning care for a client who is having percutaneous transluminal coronary angioplasty with stent placement. Which of the following actions should the nurse anticipate in the post procedure plan of careMonitor for bleedingA nurse is assessing for a client for manifestations of aplastic anemia. which of the following findings should the nurse expectpetechiae and ecchymosis
dyspnea on exertion can also be present. In aplastic anemia all three major blood components(RBC WBC, platelets) are reduced or absenta nurse on the tele unit is caring for a client who has irregular radial pulse. Which of the following ECG abnormalities should the nurse recognize as atrial flutteratrial rate of 300/min with QRS complex of 80/min
atrial flutter indicates a lack of conduction between the atria and ventricles.a nurse is planning for a client who has pernicious anemia. which of the following intervention should the nurse include in the plan?initiate weekly injections of b12a nurse is caring for a client who has hypvolemic shock. while waiting for a unit of blood, the nurse should administer which of the following IV solution0.9 sodium chloride
this is used for volume replacementa nurse is preparing to transfuse a unit of packed RBC to a client who has anemia, what action should the nurse take first?witness the informed consent