A nurse is reviewing the medical record of a client who is to undergo open heart surgery.

Which of the following findings should the nurse report to the provider as a contraindication to receiving heparin?

Thrombocytopenia.

Rheumatoid arthritis.

Thalassemia.

COPD.

Answer and Explanation

The Correct Answer is A

Thrombocytopenia, or low platelet count, is a contraindication to receiving heparin.
Rheumatoid arthritis is not a contraindication to receiving heparin.
Thalassemia is not a contraindication to receiving heparin.
COPD is not a contraindication to receiving heparin.

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Correct Answer is C

Explanation

“I’m too tired to brush my teeth.” This statement indicates that the client is experiencing fatigue, which is a common symptom of heart failure.
Fatigue can significantly impact a person’s ability to perform daily activities and can be an indication that the client needs a referral for cardiac rehabilitation 1.
Choice A is not the correct answer because weighing oneself daily is a recommended self-monitoring technique for clients with heart failure.
Choice B is not the correct answer because while feeling unhappy can be a symptom of heart failure, it does not necessarily indicate a need for cardiac rehabilitation.
Choice D is not the correct answer because eating a low-sodium diet is a recommended dietary change for clients with heart failure.

A. 33 mL/hr. B. 100 mL/hr. C. 200 mL/hr. D. 400 mL/hr.

Correct Answer is C

Explanation

Step 1: 100 mL ÷ 30 min

Step 2: (100 mL ÷ 30 min) × 60 min/hr

Step 3: 3.33 mL/min × 60 min/hr

Answer: 200 mL/hr

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A nurse is reviewing the medical record of a client who is to undergo open heart surgery. Which of the following findings should the nurse report to the provider as a contraindication to receiving heparin?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has heart failure. Which of the following client statements should indicate to the nurse that the client needs a referral for cardiac rehabilitation?

Correct Answer is C

Explanation

A nurse is preparing to administer piperacillin 3.375 g by intermittent IV bolus every 6 hr. Available in piperacillin 3.375 g in dextrose 5% in water (DsW) 100 mL to infuse over 30 min. The nurse should set the IV pump to deliver how many mL/hr?

Correct Answer is C

Explanation

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A nurse is reviewing the medical record of a client who is to undergo open heart surgery.

Which of the following findings should the nurse report to the provider as a contraindication to receiving heparin?