The nurse caring for a 92-year-old patient with pneumonia who is receiving IV carefully monitors the flow rate of the IV infusion because rapid infusion can cause:
a. hypotension.
b. thrombophlebitis.
c. pulmonary emboli.
d. heart failure.
Question 2Which statement would lead the nurse to offer more instruction about taking warfarin (Coumadin)?
a. I eat a banana every morning with breakfast.
b. I try to eat more green leafy vegetables, especially broccoli, spinach, and kale.
c. I try to eat a well-balanced, low-fat diet.
d. I don't drink alcohol or caffeine.
Question 3The nurse would assess closely for signs of right-sided heart failure which include (select all that apply):
a. cough.
b. increasing abdominal girth.
c. shortness of breath.
d. edema of feet and ankles.
e. distended jugular veins.
f.
orthopnea.
Question 4The nurse would design teaching for a patient with Raynaud disease to include which of the following? (Select all that apply.)
a. Warming hands and feet with a heating pad
b. Using mittens in cold weather
c. Practicing stress-reducing techniques
d. Complete smoking cessation
e. Using caution when cleaning the refrigerator or freezer
Question 5The nurse making a teaching plan for a patient with Buerger disease (thromboangiitis obliterans) will focus on the need for:
a. reduction of alcohol intake.
b. avoiding cold remedies.
c. cessation of smoking.
d. weight reduction.
Question 6How should the nurse advise a patient with an international normalized ratio (INR) of 5.8?
a. Make arrangements to go to the emergency room immediately
b. Increase fluid intake to 2000 mL/day
c. Stop taking the anticoagulant and notify health care provider
d. Add more leafy green vegetables to patient diet
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