Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin is given due to which of the following actions of the medication?
A. anti-inflammatory.
While aspirin does have anti-inflammatory properties, this is not the primary reason it is prescribed post-MI.
B. antipyretic.
Aspirin does have antipyretic properties, but this is not relevant to a history of MI.
C. analgesic.
Aspirin can act as an analgesic, but this is not the main reason for its prescription post-MI.
D. antiplatelet aggregate.
Aspirin is an antiplatelet aggregate that helps prevent further clot formation, a key factor in MI treatment.
This question is an excerpt from Nurse Dive's nursing test bank - ATI RN Med Surg Custom Proctored Exam 2. Take the full exam now
Full Explanation
Choice A rationale:
While aspirin does have anti-inflammatory properties, this is not the primary reason it is prescribed post-MI.
Choice B rationale:
Aspirin does have antipyretic properties, but this is not relevant to a history of MI.
Choice C rationale:
Aspirin can act as an analgesic, but this is not the main reason for its prescription post-MI.
Choice D rationale:
Aspirin is an antiplatelet aggregate that helps prevent further clot formation, a key factor in MI treatment.
Similar Questions
A nurse is teaching an older adult client who has diabetes mellitus about preventing the long-term complications of retinopathy and nephropathy.
Which of the following instructions should the nurse include?
A. "Examine your feet carefully every day.”.
Examining feet daily is important for preventing complications related to peripheral neuropathy, not retinopathy or nephropathy.
B. "Maintain stable blood glucose levels.”.
Maintaining stable blood glucose levels can help prevent microvascular complications such as retinopathy and nephropathy.
C. "Have an eye examination once per year.”.
Annual eye examinations are important, but they do not prevent retinopathy.
D. "Wear compression stockings daily.”.
Wearing compression stockings daily is not directly related to preventing retinopathy or nephropathy.
Full Explanation
Choice A rationale:
Examining feet daily is important for preventing complications related to peripheral neuropathy, not retinopathy or nephropathy.
Choice B rationale:
Maintaining stable blood glucose levels can help prevent microvascular complications such as retinopathy and nephropathy.
Choice C rationale:
Annual eye examinations are important, but they do not prevent retinopathy.
Choice D rationale:
Wearing compression stockings daily is not directly related to preventing retinopathy or nephropathy.
A nurse is caring for a client who is receiving total parenteral nutrition via a peripherally inserted central catheter (PICC). When assessing the client, the nurse notes swelling of the client's arm above the PICC insertion site.
Which of the following actions should the nurse take first?
A. Apply a cold pack to the client's upper arm.
Applying a cold pack to the client’s upper arm would not be the first action to take. It may help reduce swelling, but it does not address the underlying issue.
B. Measure the circumference of both upper arms.
Measuring the circumference of both upper arms is the correct first action. This will provide objective data about the extent of the swelling, which can then be reported to the healthcare provider.
C. Remove the PICC line.
Removing the PICC line is not the first action to take. This should only be done under the direction of a healthcare provider.
D. Notify the provider who inserted the PICC line.
Notifying the provider who inserted the PICC line is important, but it should be done after gathering all necessary data, including measuring the arm circumference.
Full Explanation
Choice A rationale:
Applying a cold pack to the client’s upper arm would not be the first action to take. It may help reduce swelling, but it does not address the underlying issue.
Choice B rationale:
Measuring the circumference of both upper arms is the correct first action. This will provide objective data about the extent of the swelling, which can then be reported to the healthcare provider.
Choice C rationale:
Removing the PICC line is not the first action to take. This should only be done under the direction of a healthcare provider.
Choice D rationale:
Notifying the provider who inserted the PICC line is important, but it should be done after gathering all necessary data, including measuring the arm circumference.
A nurse is assessing a client who has diabetes mellitus and reports foot pain. The nurse should evaluate the client for which of the following alterations as indications that the client has an infection? (Select all that apply.)
A. Localized edema.
Localized edema is a common sign of infection. The body sends extra fluid to the area as part of the inflammatory response.
B. An increase in neutrophils.
An increase in neutrophils, a type of white blood cell, is a common response to infection. Neutrophils are part of the body’s immune response and work to fight off invading bacteria.
C. An increase in platelets.
An increase in platelets is not typically associated with infection. Platelets are involved in blood clotting, not the immune response.
D. Bradycardia.
Bradycardia, or a slow heart rate, is not typically associated with infection. Infection usually causes an increased heart rate, not a decreased one.
E. An increase in RBCS.
An increase in RBCs is not typically associated with infection. RBCs carry oxygen around the body, but their number does not usually change in response to infection.
Full Explanation
Choice A rationale:
Localized edema is a common sign of infection. The body sends extra fluid to the area as part of the inflammatory response.
Choice B rationale:
An increase in neutrophils, a type of white blood cell, is a common response to infection. Neutrophils are part of the body’s immune response and work to fight off invading bacteria.
Choice C rationale:
An increase in platelets is not typically associated with infection. Platelets are involved in blood clotting, not the immune response.
Choice D rationale:
Bradycardia, or a slow heart rate, is not typically associated with infection. Infection usually causes an increased heart rate, not a decreased one.
Choice E rationale:
An increase in RBCs is not typically associated with infection. RBCs carry oxygen around the body, but their number does not usually change in response to infection.