NUR 336 Perfusion Practice Questions

A nurse is caring for a client who has peripheral vascular disease and reports difficulty sleeping because of cold feet. Which of the following nursing actions should the nurse take to promote the client's comfort? A. Obtain a pair of slipper socks for the client B. Rub the client's feet briskly for several minutes C. Increase the client's oral fluid intake D. Place a moist heating pad under the client's feet - A. Obtain a pair of slippersocks for the client 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 - B. Adjust the thermostat so that the environment is warm A nurse is assessing a male client who has advanced peripheral artery disease (PAD). Which of the following findings should the nurse expect? A. Thin, pliable toe nails B. Leg pain at rest C. Hairy legs D. Flushed, warm legs - B. Leg pain at rest 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 - B. Dependent Rubor A nurse is assessing a client who has chronic venous insufficiency. Which of the following findings should the nurse expect? A. Dependent rubor B. Edema C. Hair loss D. Thick, deformed toenails - B. Edema A nurse is teaching a client who has a new diagnosis of venous insufficiency. Which of the following instructions should the nurse include? A. "Apply ice packs to your legs" B. "Use elastic stockings" C. "Remain on bed rest" D. "Place your legs in a dependent position while in bed" - B. "Use elastic stockings" A nurse is caring for a client who has pericarditis and reports feeling a new onset of palpitations and shortness of breath. Which of the following assessments should indicate to the nurse that the client may have developed atrial fibrillation? A. Different blood pressure in the upper limbs B. Different apical and radial pulses C. Differences between oral and axillary temperatures D. Differences in upper and lower lung sounds - B. Different apical and radial pulses A nurse is reviewing the laboratory results of a male adult client who is at risk for peripheral arterial disease from atherosclerosis. The nurse should identify that which of the following results places the client at risk? A. Triglycerides 130 mg/dL B. Blood glucose 92 mg/dL C. LDL 172 mg/dL D. HDL 84 mg/dL - C. LDL 172 mg/dL A nurse is caring for a client who has atrial fibrillation and receives digoxin daily. Before administering this medication, which of the following actions should the nurse take? A. Offer the client a light snack B. Measure the client's blood pressure C. Measure the client's apical pulse D. Weigh the client - C. Measure the client's apical pulse A nurse is caring for a client who is on warfarin therapy for atrial fibrillation. The client's INR is 5.2. Which of the following medications should the nurse prepare to administer? A. Epinephrine B. Atropine C. Protamine D. Vitamin K - D. Vitamin K A nurse is assessing a client who has atrial fibrillation. Which of the following pulse characteristics should the nurse expect? A. Slow B. Not palpable C. Irregular D. Bounding - C. Irregular A nurse is preparing to administer dabigatran to a client who has atrial fibrillation. The nurse should explain that the purpose of this medication is which of the following? A. To convert atrial fibrillation to sinus rhythm B. To dissolve clots in the bloodstream C. To slow the response of the ventricles to the fast atrial impulses D. To reduce the risk of stroke in clients who have atrial fibrillation - D. To reduce the risk of stroke in clients who have atrial fibrillation A nurse is assisting with obtaining an electrocardiogram (ECG) for a client who has atrial fibrillation Which of the following actions should the nurse take? (SATA) A. Keep the client NPO after midnight B. Inspect the electrode pads C. Wash the skin with plain water before placing the electrodes D. Instruct the client not talk during the test E. Administer an analgesic prior to the procedure - B, C, D