Nursing Challengers By - Subhash Choudhary

A patient with the diagnosis of chronic obstructive pulmonary disease (COPD) becomes increasingly short of breath. Which nursing intervention is most appropriate?

a. Administer O2 using a Venturi mask at 24%
b. Begin oxygen therapy using a simple face mask at 8L
c. Do not administer O2 due to history of COPD
d. Use nasal cannula to administer high flow oxygen
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1 month ago | [YT] | 3

Nursing Challengers By - Subhash Choudhary

Identify the laboratory test that is most specific for myocardial infarction and cardiac necrosis.

A.Troponin
B.HDL
C.CK-MB
D.CK

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1 month ago | [YT] | 2

Nursing Challengers By - Subhash Choudhary

A nurse assesses a patient who is recovering after a left-sided cardiac catheterization. Which assessment finding requires immediate intervention?

a.Urinary output less than intake
b.Bruising at the insertion site
c.Slurred speech and confusion
d.Discomfort in the left leg
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1 month ago | [YT] | 3

Nursing Challengers By - Subhash Choudhary

A nurse assesses a patient 2 hours after a cardiac angiography via the left femoral artery. The nurse notes that the left pedal pulse is weak. What action would the nurse take?

a.Elevate the leg and apply a sandbag to the entrance site.
b.Increase the flow rate of intravenous fluids.
c.Assess the color and temperature of the left leg.
d.Document the finding as "left pedal pulse of +1/4."

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1 month ago | [YT] | 3

Nursing Challengers By - Subhash Choudhary

A client's serum ammonia level is elevated,
and the physician prescribes 30 mL of lactulose.
Which of the following is an adverse effect of this
drug?

1. Increased urine output.
2. Improved level o consciousness.
3. Increased bowel movements.
4. Nausea and vomiting

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1 month ago | [YT] | 3

Nursing Challengers By - Subhash Choudhary

The nurse is reviewing the chart information
for a client with increased ascites. The data include the following: temperature 37.2°C, heart rate 118, shallow respirations 26, blood pressure 128/76, and SpO2 89% on room air. Which action should receive priority by the nurse?

1. Assess heart sounds.
2. Obtain a prescription for blood cultures.
3. Prepare for a paracentesis.
4. Raise the head of the bed.
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1 month ago | [YT] | 2

Nursing Challengers By - Subhash Choudhary

The nurse is assessing a client who is in the
early stages of cirrhosis of the liver. Which focused
assessment is appropriate?

1. Peripheral edema.
2. Ascites.
3. Anorexia.
4. Jaundice.

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1 month ago | [YT] | 0

Nursing Challengers By - Subhash Choudhary

The nurse is assessing a client with cirrhosis
who has developed hepatic encephalopathy. The
nurse should notify the physician of a decrease in
which serum lab value that is a potential precipitating factor for hepatic encephalopathy?

1. Aldosterone.
2. Creatinine.
3. Potassium.
4. Protein.

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1 month ago | [YT] | 0

Nursing Challengers By - Subhash Choudhary

A client with cirrhosis is receiving lactulose.
During the assessment, the nurse notes increased
confusion and asterixis. The nurse should:

1. Assess for gastrointestinal (GI) bleeding.
2. Hold the lactulose.
3. Increase protein in the diet.
4. Monitor serum bilirubin levels.

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1 month ago | [YT] | 0

Nursing Challengers By - Subhash Choudhary

The Silverman-Andersen score is specifically used to assess which of the following in neonates?
A) Neurological development
B) Respiratory distress
C) Risk of sepsis
D) Dehydration severity

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1 month ago | [YT] | 0