Which of the following findings indicates that hypertension is progressing to target organ damage? a) Urine output of 60 cc/mL over 2 hours b) Chest x-ray showing pneumonia c) Blood urea nitrogen (BUN) level of 12 mg/dL d) Retinal blood vessel damage

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Which of the following findings indicates that hypertension is progressing to target organ damage?

a) Urine output of 60 cc/mL over 2 hours
b) Chest x-ray showing pneumonia
c) Blood urea nitrogen (BUN) level of 12 mg/dL
d) Retinal blood vessel damage

 
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The nurse is reviewing discharge instructions with a patient who underwent a left groin cardiac catheterization 8 hours ago. Which of the following instructions should the nurse include? a) “Do not bend at the waist, strain, or lift heavy objects for the next 24 hours.” b) “You can take a tub bath or a shower when you get home.” c) “If any discharge occurs at the puncture site, call 911 immediately.” d) “Contact your primary care provider if you develop a temperature above 102°F.”

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The nurse is reviewing discharge instructions with a patient who underwent a left groin cardiac catheterization 8 hours ago. Which of the following instructions should the nurse include?

a) “Do not bend at the waist, strain, or lift heavy objects for the next 24 hours.”
b) “You can take a tub bath or a shower when you get home.”
c) “If any discharge occurs at the puncture site, call 911 immediately.”
d) “Contact your primary care provider if you develop a temperature above 102°F.”

 
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A patient is brought to the operating room for an elective surgery. What is the priority action by the circulating nurse? a) Acquire ordered blood products. b) Obtain a sponge and syringe count. c) Verify consent. d) Document start of surgery.

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A patient is brought to the operating room for an elective surgery. What is the priority action by the circulating nurse?

a) Acquire ordered blood products.
b) Obtain a sponge and syringe count.
c) Verify consent.
d) Document start of surgery.

 
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A patient with infective endocarditis (IE) and a fever is admitted to the intensive care unit (ICU). Which of these physician orders should the nurse implement first? a) Obtain a transesophageal echocardiogram. b) Order blood cultures drawn from two sites. c) Give acetaminophen (Tylenol) pro re nata (PRN) for fever higher than 100.3 degrees. d) Administer ceftriaxone (Rocephin) 1 g IVPB q 12 hours.

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A patient with infective endocarditis (IE) and a fever is admitted to the intensive care unit (ICU). Which of these physician orders should the nurse implement first?

a) Obtain a transesophageal echocardiogram.
b) Order blood cultures drawn from two sites.
c) Give acetaminophen (Tylenol) pro re nata (PRN) for fever higher than 100.3 degrees.
d) Administer ceftriaxone (Rocephin) 1 g IVPB q 12 hours.

 
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