43 A nurse is teaching a client and his partner about performing peritoneal dialysis at home. When
discussing peritonitis, which of the following manifestations should the nurse identify as the earliest
indication of this complication?
44 A nurse in a emergency department is caring for a client who is to receive tissue plasminogen
activator (TPA) for the treatment of an ischemic stroke. In which order should the nurse complete the
following actions? (Move the steps into the box on the right, placing them into the selected order of
performance. Use all the steps.)
Check for contraindications.
Transfer the client to the CCU
Weigh the client
Administer the TPA
45 A nurse in the emergency department admitted a client who is having a myocardial infarction. The
client has been placed on the heart monitor. Which of the following electrocardiogram strips is indicative
of a myocardial infraction?
46 A nurse is assessing a client who has acute pancreatitis and has been receiving a total parenteral
nutrition for the past 72hr. Which of the following findings requires the nurse to intervene?
Capillary blood glucose level 164 mg/dL
Crackles in bilateral lower lobes
WBC count 13,000/mm3
Right upper quadrant pain