A nurse is caring for a client who is receiving intravenous heparin therapy for deep vein thrombosis. The nurse evaluates for side effects of this drug by observing for:

Petechiae

Slowing pulse rate

Confusion

Pruritus

Answer and Explanation

The Correct Answer is A

Rationale:

A. Petechiae are small, pinpoint red or purple spots on the skin that may indicate bleeding or thrombocytopenia, which can be a side effect of heparin therapy.

B. Slowing pulse rate is not typically associated with heparin therapy.

C. Confusion is not typically associated with heparin therapy.

D. Pruritus (itching) is not typically associated with heparin therapy.

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Correct Answer is C

Explanation

Rationale:

A. Epinephrine is not typically used to treat supraventricular tachycardia (SVT).

B. Atropine is not typically used to treat supraventricular tachycardia (SVT).

C. Adenosine is the medication of choice for terminating supraventricular tachycardia (SVT).

D. Lidocaine is not typically used to treat supraventricular tachycardia (SVT).

A. Notify the provider of the client's allergy. B. Notify the dietary department of the client's allergy. C. Ask the client if any other foods cause such a reaction. D. Attach a wrist band indicating the client's allergy

Correct Answer is A

Explanation

Rationale:

A. Notifying the provider of the client's allergy is the priority to ensure that appropriate precautions are taken during the cardiac catheterization.

B. Notifying the dietary department is not necessary in this situation.

C. Asking about other foods is important but not the priority at this time.

D. Attaching a wristband indicating the allergy may be done later but is not the priority at this time.

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A nurse is caring for a client who is receiving intravenous heparin therapy for deep vein thrombosis. The nurse evaluates for side effects of this drug by observing for:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

The nurse asks a client who is about to have a cardiac catheterization about any allergies. The client states, "I always get a rash when I eat shellfish." Which of the following is the priority nursing action?

Correct Answer is A

Explanation

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Identify the following Cardiac Rhythm:

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A nurse is caring for a client who is receiving intravenous heparin therapy for deep vein thrombosis. The nurse evaluates for side effects of this drug by observing for:

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