Adult Health Exam 1 With Complete Solutions 2024

*nursing interventions for cardiovascular system* - correct answer---observe calf size for bleeding, hematoma - assess peripheral pulses -evaluate temperature, color, cap refill of affected extremity -screen for arythmias -maintain bed rest for 2 to 6 hours -instruct pt to report chest pain, bleeding -monitor for contrast induced neuropathy -ensure pt safety A nurse in a surgeon's office is providing preoperative teaching for a client who is scheduled for a surgery the following week. The client tells the nurse that "I plan to prepare my advance directives before I come to the hospital". WHich of the following statements made by the client should indicate to the nurse an understanding of advance directives? A. I plan to write than I don't want them to keep me on a breathing machine" B. "I know they won't go ahead with the surgery unless I prepare these forms" C. "I will get my regular doctor to approve my plan before I hand it in at the hospital" D. "I'd rather have my brother make decisions for me, but I know it has to be my spouse" - correct answer--A A nurse is caring for a client who is scheduled for an exploratory laparotomy. The client's temperature is 102.2 F orally. Which of the following actions should the nurse take? A. Transfer the client to the preoperative unit B. Apply ice packs to the groin and auxiliary areas C. Encourage the client to increase intake of clear fluids D. Inform the surgeon of the elevated temperature - correct answer--D A nurse is planning preoperative care for a client who will undergo surgery. Which of the following is the priority action by the nurse? A. review the clients current home environment B. discuss if family members will assist with postoperative care C. determine what the client knows about the surgery D. identify the clients usual coping mechanisms - correct answer--C acute hemolytic reaction - correct answer--complication of receiving blood products - MOST DANGEROUS, can be life-threatening