QUESTIONS WITH COMPLETE SOLUTIONS
GRADED A+
⩥ The nurse is assessing a 20-year-old client and notes the presence of
bilateral ear lobes creases the nurse would choose which of the
following actions. Answer: Document findings and alert physician
⩥ The nurse is listening to the adult heart sounds expects to hear blank
beats per minute when normal sinus rhythm is present. Answer: 60 to 90
⩥ The nurse is caring for a client that is using cocaine which initial
cardiovascular effects takes place. Answer: Coronary artery spasms
⩥ A client presents with an enlargement of several cervical lymph nodes
and asked the nurse about the function of the structures what's the best
response. Answer: Your lymph nodes help to remove infectious
organisms
⩥ Which of the following waves represent ventricular repolarization in
the electro cardiogram. Answer: T wave
, ⩥ The nurse is caring for a client who may have an arterial obstruction
in her right on her artery which of the following test maybe used to help
determine the patency of this artery. Answer: Allen's test
⩥ The nurse is caring for a client complaining of a painful hot area in the
leg the area is red and swollen which of the following action should the
nurse perform next. Answer: Notify the position
⩥ The nurse is assessing a clients blood pressure the client asked the
nurse why it is important to feel for the brachial pulse prior to taking
blood pressure what is the response. Answer: I am more likely to get an
accurate reading if I do it this way
⩥ The nurse is documenting in ulcer on the lateral aspect of the clients
right great toe the nurse notes that the ulcer is pale with well defined
edges and there is no evidence of bleeding which other assessment that it
would be useful to determine the origin of the client ulcer. Answer:
Peripheral pulses
⩥ Which of the following best describes the action of a murmur within
the heart. Answer: Impeded/blocked blood flow to the heart
⩥ The nurse is teaching a client what they can expect during the
peripheral vascular assessment of the lower extremities which statement
by the nurse are appropriate to include in the teaching. Answer: I am
going to touch your legs and feet to see how warm they are