Med surg 3 questions

A nurse working for a home health agency is teaching a client who has diabetes mellitus about disease management. Which of the following glycosylated hemoglobin (HbA1c) values should the nurse include in the teaching as an indicator that the client is appropriately controlling his glucose levels? - 6.3% - 7.8% - 8.5% - 10%

- 6.3%

The nurse is teaching a class on coronary artery disease. Which modifiable risk factor should the nurse discuss when teaching about atherosclerosis? 1. Stress. 2. Age. 3. Gender. 4. Family history.

1. Stress

A standard of nursing practice associated with the care of a client with deep vein thrombosis includes which of the following? 1. Encourage ambulation to maintain circulation 2. Elevate the legs on a pillow, above the level of the heart to promote venous return 3. Massage the calf to promote vasodilation and reabsorption of excess fluid 4. Remove antiembolic stockings throughout the night to prevent venous stasis

2. Elevate the legs on a pillow, above the level of the heart to promote venous return

During a routine physical examination, a client reports recent occipital headaches, blurred vision, fatigue, and increasing edema. the nurse reports these findings as indicative of 1. endocarditis. 2. hypovolemic shock. 3. hypertension. 4. ventricular tachycardia.

3. hypertension.

Which of the following is the best indicator for determining whether a client with Addison's disease is receiving the correct amount of glucocorticoid replacement? 1.Skin turgor. 2.Temperature. 3.Thirst. 4.Daily weight.

4.Daily weight.

What are common signs and symptoms of right-sided heart failure? Select all that apply. A Nausea and vomiting B Increase in weight C A hacking cough D Dependent edema E Oliguria during the day

A Nausea and vomiting B Increase in weight D Dependent edema

A nurse educator is reviewing expected findings in a client who has right-sided valvular heart disease with a group of nurses. Which of the following findings should the nurse include in the discussion? (Select all that apply.) A. Dyspnea B. Client report of fatigue C. Bradycardia D. Pleural friction rub E. Peripheral edema

A. Dyspnea B. Client report of fatigue E. Peripheral edema

question about Hypothyroidism

Answer: brown rice

A nurse in an emergency department is caring for a client who has diabetic ketoacidosis (DKA) and a blood glucose level of 925 mg/dL. The nurse should anticipate which of the following prescriptions from the provider? A. Glucocorticoid medications B. Dextrose 5% is 0.45% sodium chloride C. Oral hypoglycemic medications D. 0.9% Sodium chloride IV bolus

D. 0.9% Sodium chloride IV bolus

A 12-lead electrocardiogram (ECG) is ordered for a patient in an outpatient clinic. The patient expresses some concern and nervousness about the test. What should the nurse include in the teaching to decrease the patient's potential anxiety? Electrodes will be placed on the chest and legs Acetaminophen must be given an hour before the test A contrast agent will be injected, but it will not cause pain No food or liquids are permitted up to 4 hours before the test

Electrodes will be placed on the chest and legs

A home health nurse is making a home visit to a client who takes a daily diuretic for heart failure. Which of the following manifestations should the nurse identify as indicating the client is hypokalemic? Pitting edema Fatigue Dyspnea Oliguria

Fatigue

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? Triglycerides 130 mg/dl Blood glucose 92 mg/dl LDL 172 mg/dl HDL 84 mg/dl

LDL 172 mg/dl

In which position is the patient usually placed for a abdominal paracentesis? - Dorsal recumbent position. - Supine with the arms over the head. - Sims' position on the affected side. - sit upright on the side of the bed or high/semi Fowler's position.

- sit upright on the side of the bed or high/semi Fowler's position.

A nurse is assessing a client who is at risk for deep-vein thrombosis (DVT). Which of the following findings is a manifestation of DVT? - Pallor in the affected extremity - Cramping pain in one foot - Auscultation of bruit over pedal pulse - Groin/calf tenderness

- Groin/calf tenderness

A nurse is teaching a client who has angina pectoris and is learning how to treat acute anginal attacks. The clients asks, "What is my next step if I take one tablet, wait 5 minutes, but still have anginal pain?" Which of the following replies by the nurse is appropriate? -"Take two tablets at the same time and then call 911." -"Call 911 and take a second sublingual tablet." -"Take a sustained-release nitroglycerin capsule rather than a sublingual tablet and wait 5 more minutes before calling 911." -"Wait another 5 minutes before taking a second sublingual tablet."

-"Call 911 and take a second sublingual tablet."

The nurse is admitting a client diagnosed with primary adrenal cortex insufficiency (Addison's disease). Which clinical manifestations should the nurse expect to assess? 1. Moon face, buffalo hump, and hyperglycemia. 2. Hirsutism, fever, and irritability. 3. Bronze pigmentation, hypotension, and anorexia. 4. Tachycardia, bulging eyes, and goiter.

3. Bronze pigmentation, hypotension, and anorexia.

A nurse is caring for a client who just had a cardiac catheterization. Which of the following nursing interventions should the nurse include in the client's plan of care? (Select all that apply.) A. Check peripheral pulses in the affected extremity. B. Place the client in high-Fowler's position. C. Measure the client's vital signs every 4 hr. D. Keep the client's hip and leg extended. E. Have the client remain in bed up to 6 hr

A. Check peripheral pulses in the affected extremity. D. Keep the client's hip and leg extended. E. Have the client remain in bed up to 6 hr

A nurse is assessing a client who has an obstruction of the common bile duct resulting from chronic cholecystitis. Which of the following findings should the nurse expect? A. Fatty stools B. Straw-colored urine C. Tenderness in the left upper abdomen D. Ecchymosis of the extremeties

A. Fatty stools

A nurse is caring for who reports an area of redness, warmth, tenderness, and pain in the right calf. The nurse anticipates which of the following orders when notifying the provider of this finding? A. Obtain a venous duplex ultrasound B. Obtain impedance plethysmography C. Monitor Homan's sign D. Apply cold therapy to the affected leg

A. Obtain a venous duplex ultrasound

A nurse on a medical-surgical unit is caring for a client who reports pain in the jaw, back, and shoulder, and shortness of breath and nausea. Which of the following actions should the nurse take? A. Obtain an EKG. B. Administer enteric-coated acetaminophen. C. Administer ibuprofen. D. Maintain oxygen saturations greater than or equal to 92%

A. Obtain an EKG.

Which symptom frequently occurs in patients in the early stages of peripheral arterial disease (PAD)? A. Pain with ambulation B. Bounding pedal pulses C. Redness in foot while sitting in a chair D. Rest pain in the legs lasting more than 2 weeks

A. Pain with ambulation

The nurse is caring for a client with syndrome of inappropriate antidiuretic hormone (SIADH). This condition is most often related to which predisposing condition? A. Small cell lung cancer B. Active TB infection C. Hodgkin's lymphoma D. Tricyclic antidepressant therapy

A. Small cell lung cancer

A nurse is providing teaching for a client who has a new diagnosis of angina pectoris. The nurse should give the client which of the following information about anginal pain? A. exertion and anxiety can trigger the pain B. the pain often radiates to the jaw or the back C. the pain usually lasts more than 20 min D. the pain persists with rest and organic nitrates

A. exertion and anxiety can trigger the pain

The nurse is caring for a client with peripheral arterial disease (PAD). Which symptom will the nurse anticipate? Reproducible leg pain with exercise Unilateral swelling of affected leg Decreased pain when legs are elevated Pulse oximetry reading of 90%

Reproducible leg pain with exercise

Which are the clinical manifestations of right-sided heart failure? Select all that apply. Ascites Dyspnea Hepatomegaly Generalized edema Weak pulses

Ascites Hepatomegaly Generalized edema

Which of the following medications would most likely be stopped before a treadmill stress test? A) Cholesterol medication B) Beta blocker C) Aspirin D) Coumadin

B) Beta blocker

A patient with sudden pain in the left upper quadrant radiating to the back and vomiting was diagnosed with acute pancreatitis. Which intervention should the nurse include in the patient's plan of care? A) Immediately start enteral feeding to prevent malnutrition. B) Insert an NG and maintain NPO status to allow pancreas to rest. C) Initiate early prophylactic antibiotic therapy to prevent infection. D) Administer acetaminophen (Tylenol) every 4 hours for pain relief.

B) Insert an NG and maintain NPO status to allow pancreas to rest.

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 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

When a patient returns to the unit after a cardiac catheterization, which nursing intervention should immediately follow taking vital signs? A. Providing the patient with fluids B. Assessing the patient's peripheral pulses C. Placing the patient in a warm bed and encouraging sleep D. Reapplying the patient's dressing where the catheter was inserted

B. Assessing the patient's peripheral pulses

Which of the following actions is first priority of care for a client exhibiting signs & symptoms of coronary artery disease? A. Decrease anxiety B. Enhance myocardial oxygenation C. Administer sublingual nitroglycerin D. Educate the client about his symptoms

B. Enhance myocardial oxygenation

Nurse Oliver should expect a client with hypothyroidism to report which health concerns? A. Increased appetite and weight loss B. Puffiness of the face and hands C. Nervousness and tremors D. Thyroid gland swelling

B. Puffiness of the face and hands

A nurse is caring for a client who has just returned from the PACU after a traditional cholecystectomy. In which of the following positions should the nurse place the client? A. Prone B. Semi-Fowler's C. Supported Sims' D. Dorsal recumbant

B. Semi-Fowler's

A nurse in a provider's office is assessing a client who reports dyspnea and fatigue. Physical assessment reveals tachycardia and weak peripheral pulses. The nurse should recognize these findings as manifestations of which of the following conditions? A) Asthma B) Aortic valve regurgitation C) Heart failure D) Aortic stenosis

C) Heart failure

A nurse is preparing dietary instructions for a client who has episodes of biliary colic from chronic cholecystitis. Which of the following instructions should the nurse include in the teaching plan? A. Include foods high in starch and proteins. B. Include foods high in fiber. C. Avoid foods high in fat. D. Avoid foods high in sodium.

C. Avoid foods high in fat.

The nurse is assessing a patient, who has many risk factors for the development of a DVT, for signs and symptoms of a deep vein thrombosis. What signs and symptoms below would possibly indicate a deep vein thrombosis is present? A. Cool extremity B. Decreases pulses C. Redness D. Pain E. Warm extremity F. Swelling G. Cyanosis

C. Redness D. Pain E. Warm extremity F. Swelling

The client is admitted to the medical department with a diagnosis of R/O acute pancreatitis. What laboratory values should the nurse monitor to confirm this diagnosis? A. Creatinine and BUN B. Troponin and CK-MB C. Serum amylase and lipase D. Serum bilirubin and calcium

C. Serum amylase and lipase

A nurse is caring for a client who came to the emergency department reporting chest pain. The provider suspects a myocardial infarction. While waiting for the troponin levels report, the client asks what this blood test will show. Which of the following explanations should the nurse provide the client? A. Troponin is an enzyme that indicates damage to brain, heart, and skeletal muscle tissues. B. Troponin is a lipid whose levels reflect the risk for coronary artery disease. C. Troponin is a heart muscle protein that appears in the bloodstream when there is damage to the heart. D. Troponin is a protein that helps transport oxygen throughout the body.

C. Troponin is a heart muscle protein that appears in the bloodstream when there is damage to the heart.

A nurse is providing discharge teaching to a client who has congestive heart failure. 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 4gm per day." B"I should use naproxen to manage discomfort." C"I will take my diuretic before sleep and drink fluids during the day." D"I plan to slow down if I am tired the day after exercising."

D"I plan to slow down if I am tired the day after exercising."

You're caring for a 45 year old patient who is admitted with suspected acute pancreatitis. The patient reports having extreme mid-epigastric pain that radiates to the back. The patient states the pain started last night after eating fast food. As the nurse, you know the two most common causes of acute pancreatitis are:* A. High cholesterol and alcohol abuse B. History of diabetes and smoking C. Pancreatic cancer and obesity D. Gallstones and alcohol abuse

D. Gallstones and alcohol abuse

A nurse is caring for a client with type one diabetes mellitus who reports feeling shaky and having palpitations. When the nurse finds the clients blood glucose to be 48 mg over deciliters on the Glucometer he should get the client which of the following? Graham crackers 1 teaspoon of sugar 4 ounces of diet soda 4 ounces of skim milk

Graham crackers

A nurse is giving a presentation about preventing deep-vein thrombosis (DVT). Which of the following should the nurse include as a risk factor for this disorder? (Select all that apply.) BMI of 20 Oral contraceptive use Hypertension Smoking Immobility

Oral contraceptive use Hypertension Smoking Immobility

patient is currently pain- and symptom-free, but reports having intermittent episodes of chest pain (acute MI) over the past week. The nurse asks about which associated symptoms? (SATA) a. Nausea b. Diarrhea c. Diaphoresis d. Dizziness e. Joint pain f. Shortness of breath g. Tachycardia

a. Nausea c. Diaphoresis d. Dizziness f. Shortness of breath g. Tachycardia

Diabetes Insipidus is a possible complication after pituitary surgery. For which symptom should the nurse observe to aid detection of Diabetes Insipidus? a. Urine specific gravity less than 1.005 b. Urine output between 1 and 2 liters per day c. Blood glucose level above 300 mg/1000 ml d. Urine negative for glucose and ketones

a. Urine specific gravity less than 1.005

A client with a myocardial infarction is admitted to the cardiac intensive care unit. Which pain relief medication would the nurse expect to find on the plan of care for this client? a. morphine b. diazepam c. midazolam d. oxycodone

a. morphine

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

a. reduce cholesterol and saturated fat intake b. increase physical activity and daily exercise c enroll in a smoking-cessation program e. maintain optimal blood pressure to prevent kidney damage

The nurse is caring for a postoperative client who reports pain in the shoulder blades following laparoscopic cholecystectomy surgery. Which direction does the nurse give to the nursing assistant to help relieve the client's pain? a."Ambulate the client in the hallway." b."Apply a cold compress to the client's back." c."Encourage the client to take sips of hot tea or broth." d."Remind the client to cough and deep breathe every hour."

a."Ambulate the client in the hallway."

A nurse is caring for a client who has Cushing's syndrome. Which of the following interventions should the nurse expect to perform? select all that apply a)monitor for postural hypotension b)weight the client daily c)assess for neck vein distention d)assess blood glucose level e)monitor for an irregular heart rate

b)weight the client daily c)assess for neck vein distention d)assess blood glucose level

A nurse teaches a client with heart failure about energy conservation. Which statement would the nurse include in this client's teaching? a. "Walk until you become short of breath, and then walk back home." b. "Begin walking 200 feet a day three times a week." c. "Do not lift heavy weights for 6 months." d. "Eat plenty of protein to build your strength."

b. "Begin walking 200 feet a day three times a week."

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 providing teaching to a client who has a family history of hypertension. The nurse should inform the client that his blood pressure of 124/84 mmHg places him in which of the following categories? a. Within the expected reference range b. Prehypertension c. Stage I hypertension d. Stage II hypertension

b. Prehypertension

What is the nurse's best response when family members of a client with hyperthyroidism express concern about the client's frequent mood swings? a) "Do the client's mood swings make you feel angry?" b) "The medications will make the mood swings disappear completely." c) "Your family member is sick. You must be patient." d) "Mood swings are common should diminish with treatment."

d) "Mood swings are common should diminish with treatment."