Chapter 21: Problem 39
The client is admitted two weeks after the onset of chest pain. Which laboratory test is the most indicative for a myocardial infarction? A. Creatine kinase (CK-MB) B. Troponin level C. Lactic acid dehydrogenase (LDH) D. Blood urea nitrogen (BUN)
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The client is discharged with a prescription for sodium warfarin (Coumadin). The nurse should instruct the client to: A. Take the medication with water only B. Eat green vegetables at least three times per week C. Avoid constipation by increasing the amount of fiber in the diet D. Administer the medication in the abdomen with a tuberculin syringe
While assessing the newborn, the nurse notes edema that crosses the cranial suture line. The nurse is aware that edema that crosses the infant’s cranial suture line is: ? A. A dangerous finding that should be reported immediately ? B. A common occurrence following a vaginal delivery ? C. A cephalohematoma that should be monitored ? D. A subdural hematoma that will require surgical correction
The client with AIDS develops Kaposi's sarcoma (KS). Which action by the nurse indicates understanding of Kaposi's sarcoma? A. The nurse carries out percussion, vibration, and drainage every morning prior to breakfast. B. The nurse provides mouth care after meals. C. The nurse provides skin care and places the client on a floatation mattress. D. The nurse does catheter care with the bath.
The nurse is assessing the client for Trousseau's sign. Which finding indicates a positive Trousseau sign? A. Tap cranial nerves 7 and cranial nerve 5 and check for grimacing of the face B. Place a blood pressure cuff on the arm and check for carpopedal spasms when the cuff is inflated C. Check the deep tendon reflexes by tapping the knee D. Monitor the client for nausea when cold water is used to irrigate the ear canal
The client is admitted with Cushing's disease. Which symptoms support the diagnosis of Cushing's disease? A. Hypoglycemia and weight loss B. Increased lymphocytes and pale complexion C. Osteoporosis and a pendulous abdomen D. Decreased blood pressure and cyanosis
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