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Exam | Just Released!! Rasmussen Final MDC3
The nurse is admitting a client with an ulcer on the right foot.
Which client statement indicates venous insufficiency to the
nurse? Select all that apply.
A. "My ankles swell up all the time."
B. "My leg hurts after I walk about a block."
C. "My feet are always really cold."
D. "My veins really stick out in my legs."
E. "My ankles have been discolored for years." - ANSWER -
A,D,E
1. The nurse is teaching a client with stage 1
hypertension. Which client statement indicates
understanding of dietary modifications? A. "I will reduce
my sodium intake to 2500 mg per day."
B. "I will restrict my intake of daily dietary lean protein."
C. "I am only going to drink one cup of coffee to start my day."
D. "I will drink a glass of low-fat milk with my breakfast." -
ANSWER -D
2. A client is admitted to the hospital with an abdominal aortic
aneurysm. Which assessment data would cause the nurse to
suspect that the aneurysm has ruptured?
,A. Shortness of breath and hemoptysis
B. Sudden, severe low back pain and bruising along the flank
C. Gradually increasing substernal chest pain and diaphoresis
D. Rapid development of patchy blue mottling on feet and toes -
ANSWER -B
3. The nurse is caring for a client receiving intravenous heparin
for treatment of
DVT who begins to begins to vomit blood. What action
should the nurse be
prepared to
take?
A. Administer
vitamin K
B. Stop the infusion of
heparin
C. Administer an
antiemetic
D. Insert a nasogastric tube -
ANSWER -B
T/ F Many women with symptomatic ischemic heart disease or
abnormal stress testing do not have abnormal coronary
angiography. Studies implicate
microvascular disease or endothelial dysfunction or both as
the causes for risk for CAD in women - ANSWER -True
,populations at risk of CAD - ANSWER -
black males
white
males
A 45-year-old male client having an annual physical asks the
nurse about his risk for developing a myocardial infarction (MI).
Which modifiable risk factors will the nurse assess to guide the
client's teaching plan? Select all that apply.
A. Age
B. Tobacco use
C. Gender
D. Diet
E. Family history
F. Weight - ANSWER -BDF
Age is the most important risk factor for developing CAD in
women. The older a woman is, the more likely it is that she will
have the disease. When compared with men, women are
usually 10 years older when they have CAD. more women than
men die with MIs - ANSWER -NURSING PRIORITY SAFETY
What is the most important precaution to prevent harm that a
nurse will teach a client who is prescribed to take the
anticoagulant drug warfarin?
A. Apply an ice pack to any body area that you bump or
otherwise injure to reduce bleeding.
B. Check with your primary health care provider before taking
any vitamin supplements.
, C. Always take your medication within an hour of the same time
every day and never with meals.
D. Avoid taking aspirin or any aspirin-containing product unless
prescribed. -
ANSWER -d
Which client history information is most relevant for the nurse
to document when assessing for a possible hematologic
problem? Select all that apply.
A. Eats a vegan diet
B. Participates in basketball twice weekly
C. Mother has pernicious anemia
D. Has a sister with Down syndrome
E. Sprays fertilizers and weed killers for a lawn care company
F. Takes aspirin or NSAIDs occasionally for minor muscle pain
G. Has used a vaping device instead of cigarette smoking for
the past 2 years - ANSWER -ace
Pallor and cyanosis are most easily detected with darker
skin by examining
what? - ANSWER -oral mucous membranes and
conjunctiva of the eye
where is jaundice seen best in dark skinned patients? -
ANSWER -roof of
mouth