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NCLEX RN· Reduction of Risk Potential · Reduction of Risk Potential RN

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is caring for a client who is undergoing a pharmacological stress test because she cannot use the treadmill. The nurse administers the prescribed dose of adenosine. Which physiological response indicates an adverse effect of the adenosine requiring intervention by the nurse? Select all that apply.

A. nausea
B. RR of 18
C. HR of 97
D. chest pain
E. facial flushing

Expert Explanatory Rationale

Correct Answer: chest pain

Question 2 of 5

The nurse is educating a client newly diagnosed with gout regarding dietary choices. The nurse understands that further teaching is needed if the client orders which foods for lunch?

A. fruit cup with corn bread and tea
B. tuna fish sandwich with green peas
C. a peanut butter sandwich with 1 percent milk
D. low-fat cheese and crackers with blueberries

Expert Explanatory Rationale

Correct Answer: tuna fish sandwich with green peas

Question 3 of 5

A client is admitted to the ED after complaining of acute chest pain radiating down the left arm. The client is diaphoretic and anxious, and has difficulty breathing. Which laboratory studies would the nurse anticipate?

A. blood urea nitrogen (BUN)
B. white blood cell count
C. LDH
D. myoglobin

Expert Explanatory Rationale

Correct Answer: myoglobin

Question 4 of 5

The nurse is evaluating clients for risk of heparin-induced thrombocytopenia (HIT). Which client is at greatest risk for HIT, based on the nurse's assessment?

A. a male client who just completed a 1-week course of heparin
B. a male client taking enoxaparin for management of unstable angina
C. a female client receiving heparin for postsurgical thromboprophylaxis
D. a female client taking enoxaparin to prevent clots following a mild myocardial infarction

Expert Explanatory Rationale

Correct Answer: a female client receiving heparin for postsurgical thromboprophylaxis

Question 5 of 5

The nurse is caring for a client who has just returned from the cardiac catheterization lab. Which complications of cardiac catheterization require immediate intervention by the nurse? Select all that apply.

A. chest pain
B. decreased appetite
C. difficulty swallowing
D. hematoma formation
E. decreased pulses in the affected extremity

Expert Explanatory Rationale

Correct Answer:

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