A client came into the emergency room with a possible myocardial infarction. The provider orders a series of blood tests to be drawn, which lab should the nurse anticipate will be drawn?

Brain Natriuretic Peptide (BNP)

Total Lactate Dehydrogenase (LDH)

Troponin

Creatinine

Answer and Explanation

The Correct Answer is C

A. Brain Natriuretic Peptide (BNP) is a marker for heart failure, not the primary diagnostic test for myocardial infarction (MI).
B. Total Lactate Dehydrogenase (LDH) was historically used but is not specific for MI and has been replaced by troponin testing.
C. Troponin is correct. Cardiac-specific troponins (Troponin I and Troponin T) are the gold standard for detecting myocardial injury. Elevated levels indicate myocardial damage and are crucial for diagnosing MI.
D. Creatinine is important for assessing kidney function but is not a marker for myocardial infarction.

Nursing Test Bank

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Weight loss is not a common side effect of prednisone. Instead, prednisone often causes weight gain due to fluid retention and increased appetite.
B. Dry mouth can occur with prednisone use, although it is less common than other side effects.
C. Hyperglycemia is a common side effect. Corticosteroids like prednisone can increase blood glucose levels, which is particularly concerning for clients with diabetes.
D. Decreased wound healing is a known side effect. Prednisone suppresses the immune system and inflammatory response, leading to delayed tissue repair.

A. Massage the calves every shift. B. Apply elastic compression stockings. C. Perform passive range of motion exercises. D. Assess legs for redness. E. Place pillows under the client's knees when in bed.

Correct Answer is ["B","C","D"]

Explanation

A. Massaging the calves is incorrect. This action can dislodge a deep vein thrombus (DVT), increasing the risk of a pulmonary embolism.
B. Applying elastic compression stockings is correct. These help promote venous return, reducing the risk of blood stasis and clot formation.
C. Performing passive range of motion exercises is correct. These exercises prevent venous stasis, which is a major risk factor for DVT and PE.
D. Assessing legs for redness is correct. Redness, swelling, and warmth can indicate DVT formation, allowing for early intervention before it leads to PE.
E. Placing pillows under the client's knees is incorrect. This can impair circulation and increase the risk of clot formation by promoting venous stasis.

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A client came into the emergency room with a possible myocardial infarction. The provider orders a series of blood tests to be drawn, which lab should the nurse anticipate will be drawn?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client is being discharged with a prescription of prednisone. Which of the following is not a common side effect for this corticosteroid?

Correct Answer is A

Explanation

A nurse is planning care for a client who has quadriplegia. Which of the following actions should the nurse take to prevent a pulmonary embolism (PE)? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

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