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Extract:


Question 1 of 5

A client with coronary artery disease was discharged home with a prescription for sublingual nitroglycerin to treat angina. Which statement by the client indicates that further teaching is required?

Correct Answer: D

Rationale: Delaying 911 after three doses (
D) is dangerous; clients should call after no relief from the first dose or after three doses (5 minutes apart). Flushing (
A), lying down (
B), and not swallowing (
C) are correct.

Extract:

Laboratory reference ranges
Platelets
150,000–400,000/mm3
(150–400 × 109/L)


Question 2 of 5

A client is being discharged after having a stent placed in the left anterior descending coronary artery. The client is prescribed clopidogrel. Which client data obtained by the nurse would be concerning in relation to this new medication?

Correct Answer: D,E

Rationale: Ginkgo biloba (
D) and peptic ulcer disease (E) increase bleeding risk with clopidogrel, requiring caution. Blood pressure (
A), heart rate (
B), and platelet count (
C) are within normal limits.

Extract:


Question 3 of 5

The nurse is reinforcing instructions about the use of regular and neutral protamine Hagedorn (NPH) insulin. Which statement by the client indicates that further instruction is needed?

Correct Answer: B

Rationale: Eating 30 minutes after NPH and regular insulin (
B) risks hypoglycemia, as regular insulin acts within 30 minutes. Checking glucose (
A), using new syringes (
C), and sliding scale for regular insulin (
D) are correct.

Question 4 of 5

Because the client has hypothyroidism, the nurse expects which of the following to be present in the client?

Correct Answer: C

Rationale: Hypothyroidism slows metabolism, causing hypothermia (e.g., 96.8°F). Weight gain, not loss, slow respirations, and heavy menses are typical.

Question 5 of 5

While caring for the client during the first hour after delivery, the nurse determines that the uterus is boggy and there is vaginal bleeding. What should be the nurse's first action?

Correct Answer: B

Rationale: Massage the fundus. The nurse's first action should be to massage the fundus until it is firm, as uterine atony is the primary cause of bleeding in the first hour after delivery.

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