Verified Answers|100% Guarantee Pass ,Graded
A+ and Well Reviewed |Most Highly Tested
Questions and Detailed Answers| Latest Exam
and Newest Version| Rationalized!!!!
A nurse is caring for a client who has a new diagnosis of essential
hypertension. The nurse should monitor the client for which of the
following findings that is consistent with this diagnosis?
a. vertigo
b. uremia
c. blurred vision
d. dyspnea
ANSWER: A (signs a nurse should monitor for essential hypertension
include: vertigo, headache, facial flushing and fainting)
-uremia, blurred vision, dyspnea=malignant hypertension
A nurse is preparing a teaching session about reducing the risk of
complications of diabetes mellitus. Which of the following
information should the nurse plan to include in the teaching? (select
all that apply)
a. reduce cholesterol and saturated fat intake
b. increase physical activity and daily exercise
c. enroll in a smoking-cessation program
d. sustain hyperglycemia to reduce deterioration of nerve cells
e. maintain optimal blood pressure to prevent kidney damage
,ANSWER: A B C E (Nephropaty is a pathologic change in the kidney
that reduces kidney function and leads to kidney failure. Diabetes is
the leading cause of end-stage kidney disease. Risk factors for
nephropathy include a 10 to 15 year history of diabetes mellitus,
poor glucose control, and uncontrolled hypertension.)
It's recommended to keep LDL below 100mg/dL
Smoking causes vasoconstriction of vessels, further increasing a
diabetics risk for coronary artery disease and increased BP and MI
and stroke
A nurse is admitting an older adult client who had diabetic
neuropathy with painful, burning feet. Which of the following
interventions should the nurse anticipate the health care provider to
prescribe?
a. place a bed cradle on the client's bed
b. inspect the client's feet once weekly
c. apply graduated compression stockings to the client's lower
extremities
d. put a heating pad on the client's feet
ANSWER: A (bed cradle reduces pain by preventing sheets from
touching the hypersensitive skin)
-feet should be inspected daily
-heating pads can cause burns for people with diabetic neuropathy
A nurse is assessing a client who has COPD. The nurse should
expect the client's chest to be which of the following shapes?
a. Pigeon
b. Funnel
c. Kyphotic
d. Barrel
ANSWER: D (Ppl with COPD use accessory muscles causing chest
wall to increase)
,A home health nurse visits a client who has COPD and recieves
oxygen at 2 L/min via nasal cannula. The client reports difficulty
breathing. Which of the following actions is the nurse's priority?
a. increase the oxygen flow to 3 L/min
b. assess the client's respiratory status
c. call the emergency services for the client
d. have the client cough and expectorate secretions
ANSWER: B (first action includes collecting data from client. Nurse
should assess respirations before determining appropriate
interventions)
A nurse is giving a presentation at a community center about chronic
bronchitis. Which of the following information should the nurse
include as effective for preventing this disorder?
a. maintenance of ideal weight
b. annual influenza immunization
c. smoking cessation
d. regular moderate exercise
ANSWER: C
A nurse is developing a plan of care for a client who has COPD. The
nurse should include which of the following interventions in the plan?
a. restrict the client's fluid intake to less than 2 L/day
b. provide the client with a low-protein diet
c. have the client use the early-morning hours to exercise and
activity
d. instruct the client to use pursed-lip breathing
ANSWER: D (pursed-lip breathing decreases trapped air for COPD
clients)
-clients with COPD should consume high-caloric/high protein diet to
prevent weight loss
, -never restrict fluids unless you have fluid overload
-COPD clients have poor exercise tolerance in morning because
secretion accumulation at night
A nurse is teaching a client who has type 1 diabetes mellitus about
foot care. Which of the following statements by the client indicates
an understanding of the teaching?
a. "I'll wear sandals in warm weather"
b. "I'll put lotion between my toes after drying my feet"
c. "I'll check my feet every day for sores and bruises"
d. "I'll soak my feet in cool water every night before I go to bed"
ANSWER: C (DM feet should be checked daily)
-DM patients shouldn't wear shoes with open toes or straps that rest
between toes to decrease risk of foot injury
-lotion appropriate for dry areas but not between toes b/c moist
environment=bacteria growth
-hands/feet shouldn't be soaked long periods b/c increases infection
risk. When cleaning water should be warm/soapy
A nurse is providing discharge teaching to a client who has
peripheral arterial disease (PAD. Which of the following instructions
should the nurse include in the teaching?
a. apply a heating pad on a low setting to help relieve leg pain
b. adjust the thermostat so that the environment is warm
c. wear antiembolic stockings during the day
d. rest with the legs above heart level
ANSWER: B (client should keep environment warm to prevent
vasoconstriction. Wearing gloves, warm clothes, and socks will help
prevent vasoconstriction)
-heat shouldn't be applied directly to limb b/c sensation is diminished
and burns can result