Which statement made by the nurse indicates an understanding of the clinical manifestations of anemia from acute blood loss?

Correct Answer: B

Rationale: The correct answer is B because feeling lightheaded and experiencing a drop in blood pressure upon standing are common clinical manifestations of anemia from acute blood loss. This indicates that the body is not able to adequately supply oxygen to tissues due to decreased red blood cell count. Option A is incorrect as focusing solely on high iron diet overlooks the immediate need for medical intervention. Options C and D are incomplete, thus cannot be evaluated.

Correct Answer: A

Rationale: The correct answer is A: Monitor for bleeding. After PTCA with stent placement, the nurse should anticipate monitoring the client for signs of bleeding at the catheter insertion site. This is crucial as bleeding is a common complication post-procedure. The nurse should assess the insertion site regularly for any signs of bleeding, such as swelling, hematoma, or active bleeding. Prompt identification and management of bleeding can prevent further complications. Summary of why other choices are incorrect: B: Administer beta blockers - Beta blockers are not typically administered immediately post-PTCA with stent placement. They may be part of the long-term management for cardiac conditions but are not a priority post-procedure. C: Increase fluid intake - While maintaining adequate hydration is important for overall health, increasing fluid intake is not a specific post-procedure intervention for PTCA with stent placement. D: Restrict all movement - Restricting all movement post-PTCA with stent placement is not necessary. Encouraging

Correct Answer: A

Rationale: The correct answer is A: Auscultate blood pressure for pulsus paradoxus. This is the most appropriate action because pulsus paradoxus is a key sign of cardiac tamponade, where there is an abnormal drop in blood pressure during inspiration. This occurs due to increased pressure on the heart caused by fluid accumulation in the pericardial sac. Checking for chest pain (B) may not be specific to cardiac tamponade. Monitoring ECG for ST changes (C) is important but may not be as immediate as assessing for pulsus paradoxus. Assessing respiratory rate (D) is also important but may not be as specific to cardiac tamponade as checking for pulsus paradoxus.

Correct Answer: A

Rationale: The correct answer is A (Gds) because monitoring gastrointestinal (GI) adverse effects is essential when a patient is taking NSAIDs due to the increased risk of ulcers, bleeding, and perforation. B: CNS adverse effects are potential side effects of NSAIDs, so monitoring for symptoms like headache, dizziness, and confusion is necessary. C: Cardiac adverse effects such as increased risk of heart attack and stroke should be monitored in patients taking NSAIDs. D: Renal adverse effects like decreased kidney function and fluid retention are common with NSAIDs and warrant monitoring. In summary, choice A (Gds) does not apply because GI adverse effects are a crucial consideration when monitoring patients on NSAIDs, making it the correct answer.

Correct Answer: A

Rationale: Prednisone is a corticosteroid because it belongs to the class of medications that mimic the actions of corticosteroid hormones produced by the adrenal glands. Corticosteroids have anti-inflammatory and immunosuppressive properties, making them effective for treating various conditions like asthma, arthritis, and autoimmune diseases. Methotrexate, Hydroxychloroquine, and Leflunomide are not corticosteroids; they belong to different classes of medications used for managing conditions like rheumatoid arthritis but work through different mechanisms of action.