A client who is admitted with an acute coronary syndrome (ACS) receives eptifibatide, a glycoprotein (GP) (IB IIIA. inhibitor. Which assessment finding places the client at greatest risk?

Unresponsive to painful stimuli.

Presence of hematemesis.

Incontinent with blood in urine.

Blood pressure of 100/60 mm Hg.

Answer and Explanation

The Correct Answer is B

A. Unresponsiveness to painful stimuli indicates a potential neurological issue but does not directly correlate with the risk of bleeding associated with eptifibatide use.

B. Hematemesis indicates gastrointestinal bleeding, which is a significant concern in patients on eptifibatide, as it increases the risk of serious bleeding complications.

C. Blood in urine (hematuria) can indicate a urinary tract issue or bleeding but is less critical than gastrointestinal bleeding in this context.

D. A blood pressure of 100/60 mm Hg may indicate some degree of hypotension but is not as urgent as identifying active bleeding.

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Correct Answer is

Explanation

Observing breathing patterns is the most critical initial assessment in a client with myxedema coma due to potential respiratory depression. Next, assessing blood pressure is essential as hypotension is common in this condition. Measuring body temperature follows since hypothermia is a significant concern in myxedema coma. Finally, palpating for pedal edema can provide additional information but is less urgent than the previous assessments.

A. Explain that the client may need medication therapy. B. Encourage the client to reduce consumption of fatty foods. C. Confirm that this value is helpful in reducing cardiac risk. D. Ask the client about hereditary cardiac risk factors.

Correct Answer is C

Explanation

A. A high HDL level typically indicates a lower risk for heart disease, and medication therapy is generally not indicated for high HDL.

B. Reducing fatty food intake is not necessary since a high HDL level is associated with lower cardiovascular risk.

C. Confirming that a high HDL level is beneficial for reducing cardiac risk is important, as it reflects a protective factor against heart disease.

D. While asking about hereditary cardiac risk factors is relevant in a comprehensive assessment, it is not immediately necessary in response to a high HDL level.

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A client who is admitted with an acute coronary syndrome (ACS) receives eptifibatide, a glycoprotein (GP) (IB IIIA. inhibitor. Which assessment finding places the client at greatest risk?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is admitted for primary hypothyroidism has early signs of myxedema coma. In assessing the client, in which sequence should the nurse complete these actions? (Rank the first action at the top with the remainder in descending order.)

Correct Answer is

Explanation

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Correct Answer is C

Explanation

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