lower respiratory exam
A nurse is assessing a client who has hypercholesterolemia and is receiving simvastatin. Which of the
following findings should the nurse recognize as a potential adverse effect?
A. urinary retention
B. muscle weakness
C. orthostatic hypotension
B. blurred vision - ANS b. muscle weakness
Myopathy is an adverse effect of this medication. Signs of myopathy include muscle aches,
tenderness, and muscle weakness.
A nurse is establishing health promotion goals for a female client who smokes cigarettes, has
hypertension, and has a BMI of 26. Which of the following goals should the nurse include?
A. the client will list foods that are high in calcium, which should be avoided.
B. The client will walk for 30 min 5 days a week
C. The client will increase calorie intake by 200 cal per day
D. The client will replace cigarettes with smokeless tobacco products. - ANS B. The client will walk for
30 min 5 days a week
A nurse is teaching a client who is taking atorvastatin daily. Which of the following statements by the
client indicates an understanding of the teaching?
A. "i will avoid grapefruit juice
B. I should take this medication without food
C. I should expect my stools to turn clay-colored
D. It is necessary to have routine lab tests done - ANS A. I will avoid grapefruit juice
A nurse is caring for a client who has peripheral arterial disease (PAD). Which of the following
symptoms should the nurse expect to find in the early stage of the disease?
A. intermittent claudication
B. dependent rubor
C. rest pain
D. foot ulcers - ANS A. intermittent claudication
, A nurse is reviewing with another nurse a method of documentation that includes data, action, and
response (DAR) when charting client care. Which of the following methods of documentation is the
nurse referring to?
A. PIE model
B. SOAP documentation
C. Problem-oriented medical record (POMR)
D. focus charting - ANS D. focus charting
A nurse is caring for an older adult client who has left sided HF. Which of the following assessment
findings should the nurse expect?
A. frothy sputum
B. dependent edema
C. nocturnal polyuria
D. jugular distention - ANS A. frothy sputum
Left-sided heart failure reduces cardiac output and raises pulmonary venous pressure.
Manifestations include hacking cough, frothy sputum, wheezing, fatigue, and weakness.
A nurse is providing discharge instructions for a client who has CHF. which of the following client
statements indicates to the nurse that the teaching was effective?
A. "I will read food labels and limit my sodium to 4 grams per day"
B. i should use naproxen to manage discomfort
C. i plan to slow down if i am tired the day after exercising
D. I will take my diuretic before sleep and drink fluids during the day - ANS C. i plan to slow down if i
am tired the day after exercising
A nurse is providing teaching about a heart healthy diet to a group of clients with HTN. which of the
following statements by one of the clients indicates a need for further teaching?
A. "i may eat 10 ounces of lean protein each day"
B. fresh fruits make a good snack option
C. i will replace table salt with dried herbs
D. i may thicken gravies with cornstarch as I cook. - ANS A. "i may eat 10 ounces of lean protein each
day"
Lean meats should be limited to 5 to 6 oz per day
A nurse is assessing a client who has hypercholesterolemia and is receiving simvastatin. Which of the
following findings should the nurse recognize as a potential adverse effect?
A. urinary retention
B. muscle weakness
C. orthostatic hypotension
B. blurred vision - ANS b. muscle weakness
Myopathy is an adverse effect of this medication. Signs of myopathy include muscle aches,
tenderness, and muscle weakness.
A nurse is establishing health promotion goals for a female client who smokes cigarettes, has
hypertension, and has a BMI of 26. Which of the following goals should the nurse include?
A. the client will list foods that are high in calcium, which should be avoided.
B. The client will walk for 30 min 5 days a week
C. The client will increase calorie intake by 200 cal per day
D. The client will replace cigarettes with smokeless tobacco products. - ANS B. The client will walk for
30 min 5 days a week
A nurse is teaching a client who is taking atorvastatin daily. Which of the following statements by the
client indicates an understanding of the teaching?
A. "i will avoid grapefruit juice
B. I should take this medication without food
C. I should expect my stools to turn clay-colored
D. It is necessary to have routine lab tests done - ANS A. I will avoid grapefruit juice
A nurse is caring for a client who has peripheral arterial disease (PAD). Which of the following
symptoms should the nurse expect to find in the early stage of the disease?
A. intermittent claudication
B. dependent rubor
C. rest pain
D. foot ulcers - ANS A. intermittent claudication
, A nurse is reviewing with another nurse a method of documentation that includes data, action, and
response (DAR) when charting client care. Which of the following methods of documentation is the
nurse referring to?
A. PIE model
B. SOAP documentation
C. Problem-oriented medical record (POMR)
D. focus charting - ANS D. focus charting
A nurse is caring for an older adult client who has left sided HF. Which of the following assessment
findings should the nurse expect?
A. frothy sputum
B. dependent edema
C. nocturnal polyuria
D. jugular distention - ANS A. frothy sputum
Left-sided heart failure reduces cardiac output and raises pulmonary venous pressure.
Manifestations include hacking cough, frothy sputum, wheezing, fatigue, and weakness.
A nurse is providing discharge instructions for a client who has CHF. which of the following client
statements indicates to the nurse that the teaching was effective?
A. "I will read food labels and limit my sodium to 4 grams per day"
B. i should use naproxen to manage discomfort
C. i plan to slow down if i am tired the day after exercising
D. I will take my diuretic before sleep and drink fluids during the day - ANS C. i plan to slow down if i
am tired the day after exercising
A nurse is providing teaching about a heart healthy diet to a group of clients with HTN. which of the
following statements by one of the clients indicates a need for further teaching?
A. "i may eat 10 ounces of lean protein each day"
B. fresh fruits make a good snack option
C. i will replace table salt with dried herbs
D. i may thicken gravies with cornstarch as I cook. - ANS A. "i may eat 10 ounces of lean protein each
day"
Lean meats should be limited to 5 to 6 oz per day
