A client with myocardial infarction and cardiogenic shock is placed in an intra-aortic balloon pump (IABP). If the device is functioning properly, the balloon inflates when the
A. triseupid valve is closed.
B. pulmonic valve is open.
C. aortic valve is closed.
D. mitral valve is closed.
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An elderly client's lithium level is 1.4 mEq/L. She complains of diarrhea, tremors, and nausea. The nurse's first action is to
A. hold the lithium (Lithobid) and notify the physician.
B. reassure the client that these are normal adverse effects.
C. administer another lithium dose.
D. discontinue the lithium.
Following a unilateral adrenalectomy, the nurse would assess for hyperkalemia shown by which of the following
A. Muscle weakness.
B. Tremors.
C. Diaphoresis.
D. Constipation.
A client who received general anesthesia returns from surgery. Postoperatively, which nursing diagnosis takes highest priority for this client
Acute pain related to surgery.
B. Deficient fluid volume related to blood and fluid loss from surgery.
C. Impaired physical mobility related to surgery.
D. Risk for aspiration related to anesthesia.
A certified nursing assistant (CNA) is caring for a client with Clostridium difficile diarrhea and asks the charge nurse, "How can I keep from catching this from the client" The nurse reminds the CNA to wash her hands and to ensure the client is placed
A. on protective isolation.
B. on neutropenic precautions.
C. in a negative-pressure room.
D. on contact isolation.