A nurse is assessing a postpartum client.

36-year-old postpartum client who delivered twins via cesarean birth 3 weeks ago.

Reports throbbing pain as 7 on a scale of 0 to 10, swelling, discoloration, and warmth in left calf for two days. Also reports shortness of breath for the last 8 hours,

Drag words from the choices below to fill in each blank in the following sentence.

To confirm a diagnosis of DVT, the nurse anticipates provider orders for
dropdown
and
dropdown

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}

D-dimer is a blood test used to detect fibrin degradation products, which are elevated in conditions involving clot formation, such as deep vein thrombosis (DVT).
Venous duplex ultrasound is the gold standard for diagnosing DVT, as it provides real-time imaging of blood flow and clot presence in the veins.
Prothrombin time is a coagulation test used to assess clotting function but does not confirm DVT.
Chest X-ray is not used to diagnose DVT but may be ordered if a pulmonary embolism (PE) is suspected.

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Correct Answer is B

Explanation

A. Amiodarone is an antiarrhythmic medication used after defibrillation and CPR in persistent ventricular fibrillation (VF) or ventricular tachycardia (VT). However, it is not the first priority.
B. Defibrillation is the immediate priority in a pulseless client with ventricular fibrillation. Early defibrillation increases the chances of survival. The shock should be delivered as soon as possible.
C. Epinephrine is given after the first defibrillation and CPR cycle, not before.
D. Synchronized cardioversion is inappropriate because it is used for unstable tachyarrhythmias with a pulse, not pulseless VF.

A. Location B. Distribution C. Intensity D. Alleviated E. Onset F. Radiation

Correct Answer is ["A","B","C","E","F"]

Explanation

A. Location of the pain is an essential component of assessing cardiac pain, as MI-related pain is often described as substernal or radiating.
B. Distribution refers to how the pain spreads, such as from the chest to the jaw, neck, back, or arms, which is common in an MI.
C. Intensity helps determine the severity of pain and is often rated on a scale from 0 to 10.
D. While identifying factors that alleviate pain is important for overall assessment, it is not a core component of the initial pain assessment for MI.
E. Onset refers to when the pain began and whether it occurred suddenly or gradually, which helps in determining the cause.
F. Radiation is a critical aspect of cardiac pain assessment, as MI pain often radiates to the left arm, jaw, or back.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with chest pain who becomes unresponsive. The client is pulseless and apneic. The code team places the client on the monitor, which indicates ventricular fibrillation. What is the next priority action?

Correct Answer is B

Explanation

A nurse is caring for a client who is having an acute myocardial infarction (MI). The nurse is aware that which of the following are part of the assessment of cardiac pain? (SELECT ALL THAT APPLY).

Correct Answer is ["A","B","C","E","F"]

Explanation

A nurse is reviewing blood pressure classifications with a group of nurses at an in-service meeting. Which of the following should the nurse include as a risk factor for the development of hypertension?

A nurse is teaching a newly licensed nurse about evaluating cardiac rhythms. Which of the following best explains calculation of the heart rate?

Exhibits Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.

A nurse is caring for a client with a history of an abdominal aortic aneurysm (AAA). Which of the following assessments should be the nurse's priority for a client with an abdominal aortic aneurysm?

A nurse is giving a presentation about preventing deep-vein thrombosis (DVT). Which of the following should the nurse include as a risk factor for this disorder? (Select all that apply.)

A nurse is caring for a patient diagnosed with infectious endocarditis. The nurse is aware that which of the following are potential assessment findings? (SELECT ALL THAT APPLY)

A nurse is reviewing the lab results and electrocardiogram (ECG) of a patient with End Stage Renal Disease (ESRD). The nurse correlates which ECG finding to a potassium level of 6.8?