ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 39 Questions
Question 1 of 5
A nursing student wants to know why clients with chronic obstructive pulmonary disease tend to be polyhydroic. What response by the nurse instructor is best?
Correct Answer: D
Rationale: In response to hypoxia, more red blood cells are made so more oxygen can be carried and delivered to tissues. This is a physiologic process in response to the disease; it is not a medication side effect, the result of overactive bone marrow, or a response to anemia.
Question 2 of 5
A client is receiving rivaroubahn (Xareth) and asks the nurse to explain how it works. What response by the nurse is best?
Correct Answer: A
Rationale: Rivaroubahn is a direct thrombin inhibitor. It does not work on fibrinogen or vitamin K. It is not a blood thinner, although many clients call anticoagulants by this name.
Question 3 of 5
The health care provider tells the nurse that a client is to be started on a platelet inhibitor. About what drug does the nurse plan to teach the client?
Correct Answer: A
Rationale: Clopidogrel is a platelet inhibitor. Enoxaparin is an indirect thrombin inhibitor. Reteplase is a fibrinolytic agent. Warfarin is a vitamin K antagonist.
Question 4 of 5
A nurse is assessing a dark-skinned client for pallor. What action is best?
Correct Answer: A
Rationale:
To assess pallor in dark-skinned people, assess the conjunctiva of the eye or the mucous membranes. Looking at the roof of the mouth can reveal jaundice. Opening the hand widely is not related to pallor, nor is palpating for mild swelling.
Question 5 of 5
A hospitalized client has a platelet count of 58,000 / mm3. What action by the nurse is best?
Correct Answer: D
Rationale: With a platelet count between 40,000 and 80,000 / mm3, clients are at risk of prolonged bleeding even after minor trauma. The nurse should place the client on safety precautions. High-protein foods, while healthy, are not the priority. Neutropenia precautions are not needed as the client's white blood cell count is not low.