Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A. Petechiae
Petechiae are small, pinpoint red or purple spots on the skin that may indicate bleeding or thrombocytopenia, which can be a side effect of heparin therapy.
B. Slowing pulse rate
Slowing pulse rate is not typically associated with heparin therapy.
C. Confusion
Confusion is not typically associated with heparin therapy.
D. Pruritus
Pruritus (itching) is not typically associated with heparin therapy.
This question is an excerpt from Nurse Dive's nursing test bank - Ati Rn Nsg 232 Proctored Exam Med Surg. Take the full exam now
Full Explanation
Rationale:
A. Petechiae are small, pinpoint red or purple spots on the skin that may indicate bleeding or thrombocytopenia, which can be a side effect of heparin therapy.
B. Slowing pulse rate is not typically associated with heparin therapy.
C. Confusion is not typically associated with heparin therapy.
D. Pruritus (itching) is not typically associated with heparin therapy.
Similar Questions
A nurse is caring for a client post transcatheter aortic valve replacement (TAVR). During the first cardiac rehabilitation session, the client tells the nurse, "I do not need to be here. I am feeling so much better, I can do this at home". Which of the following is the appropriate nursing response?
A. "The cardiac rehab program, can help you safely return to an active lifestyle."
Encouraging the client to participate in the cardiac rehab program is important for recovery and returning to an active lifestyle.
B. "Your doctor is the expert, and would only recommend what is best for you."
Acknowledging the doctor's expertise is important, but it does not address the client's concerns.
C. "It's normal to feel that way at first, but once you learn the routine, you'll enjoy it."
This statement may minimize the client's concerns and is not the best response.
D. "Cardiac Rehab will help you get back to normal"
This statement is not specific and may not address the client's concerns.
Full Explanation
Rationale:
A. Encouraging the client to participate in the cardiac rehab program is important for recovery and returning to an active lifestyle.
B. Acknowledging the doctor's expertise is important, but it does not address the client's concerns.
C. This statement may minimize the client's concerns and is not the best response.
D. This statement is not specific and may not address the client's concerns.
A nurse is caring for a patient with a history of hypertension. The client reports compliance with the prescribed Thiazide medication but is complaining of generalized weakness and palpitations. The nurse should monitor the client for which potential complications of diuretics.
A. Hyperkalemia
Hyperkalemia is not typically associated with thiazide diuretics.
B. Cardiac dysrhythmias
Cardiac dysrhythmias can occur with thiazide diuretics due to electrolyte imbalances.
C. Seizures
Seizures are not typically associated with thiazide diuretics.
D. Hypoglycemia
Hypoglycemia is not typically associated with thiazide diuretics.
Full Explanation
Rationale:
A. Hyperkalemia is not typically associated with thiazide diuretics.
B. Cardiac dysrhythmias can occur with thiazide diuretics due to electrolyte imbalances.
C. Seizures are not typically associated with thiazide diuretics.
D. Hypoglycemia is not typically associated with thiazide diuretics.
A nurse is caring for a heart failure client with a history of dietary non compliance. The nurse suspects the client has fluid volume overload. Which of the following findings should the nurse expect? (SELECT ALL THAT APPLY))
A. Increased blood pressure
Fluid overload can lead to increased blood pressure due to the excess fluid circulating in the body.
B. increased heart rate
Increased heart rate is a compensatory mechanism in response to fluid volume overload.
C. Increase hematocrit
Increased hematocrit is not typically associated with fluid volume overload.
D. Increased respiratory rate
Increased respiratory rate is a compensatory mechanism in response to fluid volume overload.
E. Increased temperature
Increased temperature is not typically associated with fluid volume overload.
Full Explanation
Rationale:
A. Fluid overload can lead to increased blood pressure due to the excess fluid circulating in the body.
B. Increased heart rate is a compensatory mechanism in response to fluid volume overload.
C. Increased hematocrit is not typically associated with fluid volume overload.
D. Increased respiratory rate is a compensatory mechanism in response to fluid volume overload.
E. Increased temperature is not typically associated with fluid volume overload.