Blog

A nurse is providing pre-operative teaching to a client with end-stage heart failure who is to receive a left ventricular assist device. (LVAD). Which of the following statements by the nurse provides most accurate information regarding living with an LVAD?

Patient: Miranda Lewis The nurse cares for a 32-year-old Gravida 2 Para 1 client who is 35 weeks gestation. She presents to the antepartum complications floor directly from her physician’s office. She is complaining of a headache, visual disturbances, and right upper quadrant pain.   09/02/XX 1000: Client admitted to the antepartum unit with complaints of headache, blurred vision, and pain in right upper quadrant region. VS: BP 162/112, HR 90, RR 18, T 98.6F (37C), O2 97% on room air. Alert, awake, moderate distress. Patient states “Blurred vision started when I woke up this morning.” Abdomen soft, tender in RUQ. Reflexes 3+ bilaterally in lower extremities. 2+ pitting edema noted bilaterally in lower extremities. Client sitting up in bed with husband at the bedside. Labs pending.   Based on the client’s clinical manifestations, which laboratory findings does the nurse anticipate? Select all that apply.

The nurse is caring for a group of patients monitored with a variety of invasive hemodynamic devices. Which patient should the nurse evaluate first?

The nurse is caring for a patient with a left subclavian central venous catheter and a left radial arterial line. Which assessment finding by the nurse requires immediate action?

A patient with infective endocarditis reports sudden shortness of breath and pleuritic chest pain. Upon assessment, the nurse notes an oxygen saturation of 88% on room air and diminished breath sounds in the lower right lung. Which complication should the nurse suspect?

A 45-year old client presents to the physician’s office with a low-grade fever, body aches and unexplained petechiae over the hands and feet. Based on the client’s symptoms, the physician suspects the client might have infective endocarditis. Which of the following could potentially increase a client’s risk of endocarditis? Select all that apply.

A 33 week gestation patient has been admitted to the labor and delivery unit noted to be in pre-term labor. The physician orders 0.25 mg of Terbutaline to be administered SC every 20 minutes times 3, then every 3 hours. The nurse explains to the patient that she will also receive a corticosteroid for fetal lung maturity. Which dose/route does the nurse anticipate to be ordered for this medication?

In the immediate post-operative period following Coronary Artery Bypass Grafting (CABG), which nursing interventions are crucial for the optimal care of the patient? Select all that apply

A home care nurse is monitoring a pregnant client with gestational hypertension who is at risk for preeclampsia. At each home care visit, the nurse assesses the client for classic preeclampsia signs. Which of the following is not included in this list?

A 72-year-old female with a history of hypertension and smoking presents with intermittent episodes of severe, tearing chest pain radiating to her back. On examination, the nurse notes diminished pulses in the lower extremities and a difference in blood pressure between the arms and legs. An echocardiogram reveals an aortic dissection involving the ascending aorta. Which of the following interventions is the nurse’s priority?