CMSRN CMSRN - Medical-Surgical Nursing Cardiovascular and Hematological Care Questions and Answers 2

Question 1

A patient with deep vein thrombosis (DVT) is started on a heparin drip. Which laboratory value should the nurse monitor to evaluate therapeutic effectiveness?

Accepted Answer

Activated partial thromboplastin time (aPTT)

Answer

aPTT is the primary lab value used to monitor the therapeutic effectiveness of unfractionated heparin therapy.

Question 2

A nurse is caring for a patient with heart failure who develops frothy, pink-tinged sputum and severe dyspnea. What is the priority nursing intervention?

Accepted Answer

Position the patient upright and administer oxygen

Answer

Frothy pink-tinged sputum indicates pulmonary edema, and the priority is to position upright to reduce preload and administer supplemental oxygen.

Question 3

Which assessment finding in a patient receiving a blood transfusion requires the nurse to immediately stop the transfusion?

Accepted Answer

Fever with chills and flank pain

Answer

Fever with chills and flank pain suggests an acute hemolytic transfusion reaction, which requires immediately stopping the transfusion.

Question 4

A patient with peripheral arterial disease (PAD) reports intermittent claudication. Which patient statement indicates a need for further teaching?

Accepted Answer

I soak my feet in hot water every evening to improve circulation

Answer

Patients with PAD should avoid soaking feet in hot water due to impaired sensation and risk of thermal injury.

Question 5

A nurse is reviewing the lab results of a patient with suspected disseminated intravascular coagulation (DIC). Which combination of findings is most consistent with this diagnosis?

Accepted Answer

Elevated D-dimer, decreased fibrinogen, prolonged PT and aPTT

Answer

DIC is characterized by consumption of clotting factors resulting in elevated D-dimer, decreased fibrinogen, and prolonged clotting times.

CMSRN - Medical-Surgical Nursing Practice Test

CMSRN - Medical-Surgical Nursing Practice Test

CMSRN CMSRN - Medical-Surgical Nursing Cardiovascular and Hematological Care Questions and Answers 2