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A client with a 40-year history of Smoking cigarettes
drinking two alcoholic beverages and
smoking two packs of cigarettes daily
comes to the outpatient clinic with an
ischemic left foot. It is determined that
the cause is arterial insufficiency. The
nurse concludes that the pain in the
client's foot is a result of inadequate
blood supply, which may be
diminished further by what?
A client is prescribed prolonged bed Pulmonary embolism
rest after surgery. Which complication
does the nurse expect to prevent by
teaching this client to avoid pressure
on the popliteal space?
A client had an open reduction and Check the dressing on the incision
internal fixation of the head of the
femur. In the postanesthesia care unit
the client's vital signs remained stable
for one hour, with blood pressure (BP)
130/78 mm Hg, pulse (P) 68, and
respiration (R) 16. One hour after
returning to the postsurgical unit, the
client's vital signs are BP 100/60 mm
Hg, P 74, and R 22, and the client is
restless. What should the nurse do
first?
,When developing a plan of care for a Maintaining the supine position for a minimum of 4
client who had a cardiac hours
catheterization via a femoral insertion
site, what should the nurse include?
What medication does a nurse expect Factor VIII concentrate
to administer to control bleeding in a
child with hemophilia A?
The parents of a school-age child with "Leukemic cells may invade the nervous system, but
leukemia ask the nurse why irradiation the usual drugs are ineffective in the brain."
of the spine and skull is necessary.
What is the most accurate response
by the nurse?
A client who had surgery 24 hours Notify the health care provider
ago reports pain in the calf.
Assessment reveals redness and
swelling at the site of discomfort. What
should the nurse do?
A nurse is evaluating the results of Decreased pallor
treatment with erythropoietin. Which
assessment finding indicates an
improvement in the underlying
condition being treated?
While being prepared for surgery for Going into shock
a ruptured spleen, a client complains
of feeling light-headed. The client's
color is pale and the pulse is rapid.
What should the nurse conclude
about the client's condition?
A nurse is providing dietary instruction Whole milk with oatmeal
to a client with cardiovascular disease.
Which dietary selection by the client
indicates that the nurse needs to
follow up?
,A primary health care provider Eating a balanced diet, resting, and trying to avoid
decides to omit a treatment that was bleeding and infections are appropriate at this time
part of a course of chemotherapy for
a client because the client
demonstrates myelosuppression.
What information would be
appropriate for the nurse to give to
the client regarding
myelosuppression?
A client is admitted with a higher than Increased blood viscosity
expected red blood cell (RBC) count.
What physiological alteration does the
nurse expect will result from this
clinical finding?
A beta-blocker, atenolol (Tenormin), is Change positions slowly
prescribed for a client with moderate Count the pulse before taking the medication
hypertension. What information Mild weakness and fatigue are common side effects
should the nurse include when
teaching the client about this
medication? Select all that apply.
After an acute coronary syndrome a "You will be able to run progressively longer
client begins a supervised, distances before tiring."
progressive jogging regimen and asks
the nurse how to tell whether it is
helping. What is the best response by
the nurse?
Valsartan, an angiotensin II receptor Irregular pulse rate
antagonist, is prescribed for a client. Orthostatic hypotension
For which possible side effects should
the nurse monitor the client? Select all
that apply.
, An older client who lives alone was Fluid intake
found unconscious on the floor at
home. The client was admitted to the
hospital with the diagnoses of a
fractured hip, kidney failure, and
dehydration. In the 24 hours since
admission, the client received 1500 mL
of intravenous fluid and the serum
electrolyte value demonstrates
hyponatremia. What does the nurse
conclude that the element that most
likely contributed to the hyponatremia
is?
The nurse is counseling the parents of Cardiopulmonary
a 12-year-old child with Duchenne
muscular dystrophy about problems
that may develop during adolescence.
What body system does the nurse
expect will be affected?
Which process involves replacing Granulation
dead and decomposed tissue with
fresh collagen tissue?
A health care provider prescribes Apply pressure to the nasolacrimal duct after
ophthalmic drops for a client. What instillation.
should a nurse include in the
instructions for a client learning to
self-administer eye drops?
What is the most objective way that a Weighing the client
nurse can assess the extent of edema
in a client?
What dietary choices should the nurse Potatoes
instruct the client taking Cantaloupe
spironolactone to avoid increasing?
Select all that apply.