The LPN/LVN is preparing to ambulate a postoperative client after cardiac 

surgery. The nurse plans to do which to enable the client to best tolerate the 

ambulation?

Premediate the client with an analgesic before ambulating.

A client is wearing a continuous cardiac monitor, which begins to alarm at the 

nurse's station. The nurse sees no electrocardiographic complexes on the 

screen. The nurse should do which first?

Check the client status and lead placement.

The LPN/LVN in a medical unit is caring for a client with heart failure. The 

client suddenly develops extreme dyspnea, tachycardia, and lung crackles, and 

the nurse suspects pulmonary edema. The nurse immediately notifies the 

registered nurse and expects which interventions to be prescribed? Select all 

that apply.

1. Administering oxygen

2. Inserting a Foley catheter

3. Administering furosemide (Lasix)

The nurse is monitoring a client following cardioversion. Which observations 

should be of highest priority to the nurse?

Status of airway

The nurse is assisting in caring for the client immediately after insertion of a 

permanent demand pacemaker via the right subclavian vein. The nurse 

prevents dislodgement of the pacing catheter by implementing which 

intervention?

Limiting movement and abduction of the right arm

A client diagnosed with thrombophlebitis 1 day ago suddenly complains of 

chest pain and shortness of breath, and the client is visibly anxious. The 

LPN/LVN understands that a life-threatening complication of this condition is 

which?

Pulmonary embolism

A 24-year-old man seeks medical attention for complaints of claudication in the 

arch of the foot. The nurse also notes superficial thrombophlebitis of the lower 

leg. The nurse should check the client for which next?

Smoking history

The nurse has reinforced instructions to the client with Raynaud's disease 

about self-management of the disease process. The nurse determines that the 

client needs further teaching if the client states which?

"Moving to a warmer climate should help."

A client with myocardial infarction suddenly becomes tachycardic, shows signs 

of air hunger, and begins coughing frothy, pink-tinged sputum. The nurse 

listens to breath sounds, expecting to hear which breath sounds bilaterally?

Crackles

The LPN/LVN is collecting data on a client with a diagnosis of rightsided heart failure. The nurse should expect to note which specific 

characteristic of this condition?

Dependent edema