A nurse is admitting a client who has a suspected MI and a history of angina. Which of the following findings will help the nurse distinguish angina from an MI?

A nurse on a cardiac unit is reviewing the laboratory findings of a client who has a diagnosis of MI and reports that his dyspnea began 2 weeks ago. Which of the following enzymes would confirm the MI occurred 14 days ago?

A nurse is caring for a client who asks why her provider prescribed a daily aspirin. Which of the following is am appropriate response by the nurse?

A nurse is teaching a client who has angina about a new prescription for metoprolol. Which of the following statements by the client indicates understanding of the teaching?

A nurse is presenting a community education program on reccommended lifestyle changes to prevent angina and myocardial infarction. Which of the following changes should the nurse recommend be made first?

A nurse is caring for a client who has heart failure and reports increased SOB. The nurse increases the client's oxygen per protocol. Which of the following actions should the nurse take first?

A nurse is teaching a client who has heart failure about the need to limit sodium in the diet to 2,000 mg daily. Which of the following foods should the nurse recommend for the client? (Select All That Apply) A. 1 slice of cheddar cheese, B. 1 medium beef hot dog, C. 3 oz Atlantic Salmon, D. 3oz roasted chicken breast, E. 2 oz

A nurse is completing the admission assessment of a client who has suspected pulmonary edema. Which of the following manifestations are expected findings? ( Select all that apply) A. Tachypnea, B. Persistent cough, C. Increased Urinary Output, D. Thick, yellow sputum, E. Orthopnea

A nurse is providing discharge teaching for a client who has heart failure and is on fluid restriction of 2,000 ml/day. The client asks the nurse how to determine the appropriate amount of fluids he is allowed. Which of the following statements is an appropriate response by the nurse?

A nurse is caring for a client following a paracentesis. Which of the following findings indicate the bowel was perforated during the procedure?

A nurse is planning care for a client who has a new prescription for total parenteral nutrition ( TPN). Which of the following interventions should be included in the plan of care? ( Select all that apply): A. Obtain a capillary blood glucose four times a day, B. Administer prescribed medications through a secondary port on the TPN IV tubing., C. Monitor the vital signs three times during a 12 hour shift. D. Change the TPN IV tubing every 24 hours. E. ensure a daily APTT is obtained.

A nurse is providing care to a client who is 1 day post operative following a paracentesis. The nurse observes clear, pale-yellow fluid leaking from the operative site. Which of the following is an appropriate nursing intervention?

A nurse is completing discharge with a client who is 3 days postoperative following a transverse colostomy. Which of the following should the nurse include in the teaching?

A nurse is caring for a client who is receiving TPN. The current bag of solution was hung 24 hours ago, and 400 ml remains to infuse. Which of the following is the appropriate action for the nurse to take?

A nurse is caring for a client who has a new diagnosis of GERD. The nurse should anticipate prescriptions for which of the following medications? ( Select all that apply) A. Antacids, B. Histamine receptor antagonist, C. Opioid analgesics, D. Fiber laxatives, E. Protein pump inhibitors.

A nurse is admitting a client who has bleeding esophageal varices. The nurse should anticipate a prescription for which of the following medications?

A nurse is completing an assessment of a client who has GERD. Which of the following is an expected finding?

A nurse is teaching a client who has a hiatal hernia. Which of the following client statements indicates an understanding of the teaching?

A nurse discharge teaching to a client who is postoperative following fundoplication. Which of the following statements by the client indicated an understanding of the teaching?

A nurse in the emergency department is completing an assessment of a client who has suspected stomach perforation due to a peptic ulcer. Which of the following findings should the nurse expect? ( Select all that apply): A. Rigid abdomen, B. Tachycardia, C. Elevated BP, D. Circumoral cyanosis, E. Rebound tenderness

A nurse is teaching a client who has a new diagnosis of dumping syndrome following gastric surgery. Which the following information should the nurse include in the teaching?

A nurse is completing discharge teaching for a client who has an infection due to H, pylori. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is completing an assessment of a client who has a has a gastric ulcer. Which of the following findings should the nurse expect? ( Select all that apply): A. Client reports pain relieved by eating, B. Client states that pain often occurs at night, C. Client reports a sensation of bloating, D. Client states that pain occurs 30 min to 1 hour after a meal, E. Client experiences pain upon palpation of the epigastric region.

A nurse is teaching a client who has a duodenal ulcer and a new prescription for esomeprazole . Which of the following should the nurse include in the teaching? ( Select all that apply): A. Take the medication 1 hour before a meal, B. Limit NSAID's when taking this medication, C. Expect skin flushing when taking this medication, D. Increase fiber intake when taking this medication, E. Chew the medication thoroughly before swallowing.

A nurse is reviewing the serum laboratory data for a client who has acute exacerbation of Chrone's disease. Which of the following lab tests should the nurse expect to see elevated? ( Select all that apply): A. Hematocrit, B. Erythrocyte Sedimentation rate, C. WBC, D. Folic Acid, Albumin.

A nurse is assessing a client who has been taking prednisone following an exacerbation of inflammatory bowel disease. The nurse should recognize which of the following findings as a priority?

A nurse is teaching a client that has a new prescription for sulfasalazine. Which of the following instructions should the nurse include in the teaching?

A nurse is completing discharge teaching with a client who has Crohn's disease. Which of the following instructions should the nurse include in the teaching?

A nurse in a clinic is teaching a client who has ulcerative colitis. Which of the following statements by the client indicates understanding of the teaching?

A nurse is completing an admission assessment for a client who has a small bowel obstruction. Which of the following findings should the nurse report to the provider. ( Select all that apply): A. Emesis prior to insertion of NG tube, B. Urine specific gravity of 1.040, C. Hematocrit 60%, D. serum potassium 3.0, E. WBC 10,000

A nurse is planning care for a client who has a small bowel obstruction and a NG tube in place. Which of the following interventions should the nurse include in the plan of care? ( Select all that apply): A. Document the NG drainage with the clients output, B. Irrigate the NG tube every 8 hours, C. Assess bowel sounds. D. Provide oral hygiene every 2 hours, E. Monitor NG tube for placement

A nurse is caring for a client that has a small bowel obstruction from adhesions. Which of the following findings are consistent with the diagnosis? ( Select all that apply): A. Emesis greater then 500 ml with fecal odor, B. Report of spasmodic abdominal pain, C. High pitched bowel sounds, D. Abdomen flat with rebound tenderness to palpation, E. Laboratory findings indicating metabolic acidosis.

A nurse is assessing an older adult client in an extended care facility. The nurse should recognize which of the following findings is a manifestation of an obstruction of the large intestine due to fecal impaction?

A nurse is completing discharge teaching with a client who has IBS. Which of the following instructions should the nurse include in the teaching?

A nurse is orienting a newly licensed nurse on the care of a client who is to have a line placed for hemodynamic monitoring. Which of the following statements by he newly licensed nurse indicates effectiveness of the teaching?

A nurse is assessing a client who is undergoing hemodynamic monitoring. The client has a CVP of 7 mm hg and PAWP of 17 mm hg. Which of the following findings should the nurse expect. (Select all that apply) A. Poor skin turgor, B. Bilateral crackles in the lungs, C. Jugular vein dissension, D. Day mucous membranes, E. Hepatomegaly

A nurse is teaching a client who is scheduled for an angiography. Which of the following statements should the nurse include in the teaching?

A nurse at a providers office reviewing the laboratory test results for a group of clients. The nurse should identify that which of the following results indicates the client is at risk for heart disease. ( Select all that apply) A. Cholesterol total 245mg/dl, B. HDL 90mg/dl, C. LDL 140 mg/dl, D. Tryglycerides 125 mg/dl, E. Troponin I 0.02 mg/ml

A nurse is reviewing the health record of a client who is being evaluated for possible valvular heart disease. The nurse should recognize which of the following data as risk factors for this condition? ( Select all that apply) A. Surgical repair of an atrial septal defect at age 2. B. Measles infection during childhood, C. Hypertension for 5 years, D. Weight gain of 10 lb in past year, E. Diastolic murmur present.

A nurse is reviewing bowel prep using polyethylene glycol with a client scheduled for a colonoscopy. Which of the following instructions should the nurse include in the teaching?

A nurse in a clinic is instructing a client about a fecal occult-blood test, which requires mailing there specimens. Which of the Following Statements by the client by the client indicates understanding of the teaching?

A nurse is providing teaching about colon cancer is to a group of women 45 to 65 years of age. Which of the following statements should the nurse include in the teaching.