Med Surg Final

When instructing the patient with angina about taking sublingual NTG, what should the nurse teach the patient?

To lie or sit down and place one tablet under tongue when chest pain occurs

Which data collected by the nurse during the physical assessment indicate the patient is experiencing grade 4 stomatitis?

Tissue necrosis with significant bleeding noted

Which statement by the patient with chronic heart failure should cause the nurse to determine that additional discharge teaching is needed?

" I should weigh myself every morning and go on a diet if I gain more than 2-3 pounds in 2 days."

Which question does the nurse ask when assessing a patient's social history during a gastrointestinal system assessment?

"Do you drink alcohol?"

The nurse provides discharge instructions for a patient who is diagnosed with peptic ulcer disease (PUD). Which patient statement indicates the need for further teaching?

"I can still drink a cup of coffee in the morning."

Which statement by the patient recently diagnosed with irritable bowel syndrome indicates the need for further teaching?

"I can use nicotine gum to help my stop smoking."

The nurse is providing care to a patient who will need a bronchoscopy. Which patient statement indicates that pre-procedure teaching was effective?

"I will abstain from eating or drinking for 8 hours before the procedure."

Which statement by the patient diagnosed with gastritis indicates the need for further teaching?

"I will take aspirin for headaches."

The nurse provides instructions to a patient who is being discharged after treatment for a myocardial infarction. Which patient statement indicates a need for additional teaching?

"I will take the sublingual nitroglycerin each day to prevent chest pain."

The nurse provides teaching for a patient who is newly diagnosed with irritable bowel syndrome (IBS). Which patient statement indicates a need for additional teaching?

"I will use nicotine gum because smoking increased my symptoms."

Which statement by the patient scheduled for abdominal colectomy with ileoanal anastomosis for treatment of ulcerative colitis indicates the teaching was effective?

"My colon will be removed, and my ileum is sutured to the anal canal."

Which statement by the patient taking proton pump inhibitors for peptic ulcer disease indicates understanding about the action of this medication?

"This medication suppresses secretion of acid in my stomach."

The nurse is helping the client newly diagnosed with obstructive sleep apnea to apply a CPAP mask at bedtime. When asked by the client about the purpose of CPAP, what should be the nurse's BEST response?

"Use of the CPAP prevents collapse of small air sacs (alveoli)."

The nurse conducts a health history of a patient's gastrointestinal system. Which question does the nurse ask when assessing preventive health?

"What are your exercise habits?"

Which question does the nurse ask when assessing a patient's dietary practices during a health history of the gastrointestinal system?

"Who prepares the food in your home?"

In assessing a patient who is prescribed an anticholinergic agent, which assessment finding indicates the patient is experiencing an adverse reaction to this medication?

Hypoactive bowel sounds

A patient seen in the asthma clinic has recorded daily peak flows that are 75% of the baseline. Which action will the nurse plan to take next? A. Administer a bronchodilator and recheck the peak flow. B. Teach the patient about the use of oral corticosteroids. C. Increase the dose of the leukotriene inhibitor. D. Instruct the patient to keep the next scheduled follow-up appointment.

A

The nurse develops a teaching plan to help increase activity tolerance at home for an older adult with severe chronic obstructive pulmonary disease (COPD). Which instructions would be appropriate for the nurse to include in the plan of care? A. Walk 15 to 20 minutes a day at least 3 times/week. B. Walk until pulse rate exceeds 130 beats/minute. C. Stop exercising when you feel short of breath. D. Limit exercise to activities of daily living (ADLs).

A

The nurse develops the nursing diagnosis "Ineffective Airway Clearance related to intermittent, reversible airway obstruction secondary to bronchoconstriction and airway inflammation." For which disorder is this nursing diagnosis most relevant? A. Asthma B. Bronchiectasis C. Chronic bronchitis D. Emphysema

A

The nurse is caring for a patient who is admitted to the unit with tuberculosis (TB). The patient is placed in isolation. To protect the caregivers and other patients on the unit, which type of isolation room is most appropriate? A. Isolation room with an anteroom and negative air flow (air flows into the room.) B. Single-door room with normal airflow C. Single-door room with positive air flow (air flows out of the room.) D. Isolation room with an anteroom and normal airflow

A

The nurse provides care for a patient who is experiencing hypomagnesemia. Which food choice is highest in magnesium for this patient? A. Three ounces of cooked halibut B. A half-cup of cooked black-eyed peas C. A medium-sized banana D. One medium-sized baked potato

A

The nurse provides care to a patient admitted for a traumatic brain injury. The patient's arterial blood gas (ABG) analysis indicates respiratory acidosis. Which action by the nurse is best when providing care to this patient? A. Assessing respiratory rate and depth closely B. Administering sodium bicarbonate, per prescription C. Reassuring the patient to decrease anxiety D. Monitoring peripheral vascular status

A

The nurse teaches a patient how to implement pursed-lip breathing. Which patient statement indicates a need for additional instruction? A. "I will inhale through my mouth while slowly counting." B. "I will be sure to exhale twice as long as I inhale." C. "I will sit up with my shoulders relaxed." D. "I will exhale through my mouth as if I was blowing out candles."

A

Which diagnostic study is the most effective in determining whether a patient has obstructive sleep apnea? A. Polysomnography B. Computed tomography (CT) of the chest C. Arterial blood gas D. Bronchoscopy

A

The nurse is teaching the patient and family on managing mild sleep apnea. The nurse includes what management information in the teaching? (select all that apply) A. weight loss B. elevating head of bed C. Oral appliance D. Sleeping on one's back E. drinking warm milk before bedtime

A, B, C

In preparing an educational session related to obstructive sleep apnea, the nurse includes which risk factors? Select all that apply. A. Obesity B. Male gender C. Age older than 65 D. Type 2 diabetes mellitus E. Female gender

A, B, D

The nurse is preparing a class session for high school students on ways to maintain fluid balance during the summer months. Which interventions should the nurse recommend? Select all that apply. A. Drink flat cola or ginger ale if vomiting. B. Drink more fluids during hot weather. C. Drink diet soda. D. Exercise during the hours of 10 am and 2 pm. E. Reduce the intake of coffee and tea.

A, B, E

The nurse educates a patient who is prescribed furosemide (Lasix) for congestive heart failure on foods rich in potassium. Which patient menu choices indicate to the nurse a correct understanding of the information presented? Select all that apply. A. low-fat milk B. apple sauce C. sweet potato D. spinach E. Pasta

A, C, D

What impacts does sodium have on body function? Select all that apply A. Generation and transmission of nerve impulses , B. Regulates water balance C. Regulates plasma osmolality D. Maintains normal heart rhythm E. Aids in carbohydrate and lipid metabolism

A,B,C,D

Which patients may benefit from central intravenous (IV) access? Select all that apply. A. The patient requiring numerous IV infusions that are not compatible and cannot be infused together. B. The patient receiving caustic (harmful to tissue) IV therapy. C. The patient who is afraid of needles and does not want a catheter in the peripheral extremity. D. The unstable patient requiring reliable IV access for administration of medications required. immediately. E. The patient requiring long-term IV therapy.

A,B,D,E

A 51-year-old woman with Crohn's disease who is taking infliximab (Remicade) calls the nurse in the outpatient clinic about new symptoms. Which symptom is most important to communicate to the health care provider?

Fever

Which finding in the patient diagnosed with a hernia indicates the need for an intervention?

Abdominal distension

The nurse assesses the client previously diagnosed as having an inguinal hernia. The nurse considers that the client's hernia may be strangulated when which assessment findings are noted? Select all that apply.

Abdominal distention Tachycardia Severe abdominal pain Fever

Which nursing interventions should the nurse implement for the client who has a respiratory disorder? Select all that apply.

Administer oxygen via a nasal cannula as ordered. Assess the client's lung sounds. Encourage the client to cough and deep breathe. Monitor the client's pulse oximeter reading. Increase the client's fluid intake.

A patient who has a history of chronic obstructive pulmonary disease (COPD) was hospitalized for increasing shortness of breath and chronic hypoxemia (SaO2 levels of 89% to 90%). In planning for discharge, which action by the nurse will be most effective in improving compliance with discharge teaching?

Arrange for the patient's caregiver to be present during the teaching.

The client newly diagnosed with asthma is preparing for discharge. Which point should the nurse emphasize during the client's teaching?

Avoid exposure to sources that might trigger an attack.

Which does the nurse include in the education of a patient who is being discharged after a laparoscopic Nissen fundoplication? Select all that apply.

Avoid foods that are not easy to swallow. Avoid carbonated beverages. No heavy lifting until cleared by surgeon.

Which intervention will be included in the nursing care plan for a patient with idiopathic thrombocytopenic purpura (ITP)?

Avoid intramuscular (IM) injections.

A nurse in the outpatient clinic is caring for a patient who has a magnesium level of 1.3 mg/dL. Which assessment would be most important for the nurse to make? A. Intake of dietary protein B. Daily alcohol intake C. Use of over-the-counter (OTC) laxatives D. Multivitamin/mineral use

B

A nurse is assessing a client for signs of hypocalcemia. which action should the nurse perform to assess for the presence of Chvostek's sign? A. Apply a blood pressure cuff to the upper arm, inflate the cuff to a reading high than the clients systolic blood pressure for 1-4 minutes and observe for carpopedal spasm B. Tap the facial nerve anterior to the earlobe and just below the zygomatic arch, and observe for facial twitching on the same side as the stimulus C. Assess the biceps, triceps, and brachioradialis reflexes of the arm and wrist , and observe for hyperstimualtion D. Instruct the client to hyperventilate, and observe for muscle spasms of the hands or feet.

B

A patient is admitted to the emergency department (ED) for fluid volume deficit. Which body system should the nurse focus to determine the cause of this imbalance when assessing this patient? A. Cardiovascular B. Gastrointestinal C. Musculoskeletal D. Genitourinary

B

A patient is scheduled for pulmonary function testing. Which nursing action is most appropriate for the patient? A. Scheduling the test after a meal B. Assessing for respiratory distress C. Providing rest before the procedure D. Administering an inhaled bronchodilator 6 hours before procedure

B

The nurse is instructing a patient who is prescribed ipratropium bromide (Atrovent) for asthma. Which should be included in this patient's teaching? A. Take on an empty stomach. B. Take no more than the prescribed number of doses each day. C. Take with meals or a full glass of water. D. Rinse the mouth after taking this medication.

B

The nurse is reviewing laboratory values for a female patient suspected of having a fluid imbalance. Which laboratory value evaluated by the nurse supports the diagnosis of dehydration? A. Serum osmolality 230 mOsm/kg B. Hematocrit 53% C. Hematocrit 30% D. Serum potassium 3.8 mEq/L

B

The nurse prepares to initiate intravenous (IV) access for an older adult patient who requires a blood transfusion. Which gauge needle is best for the nurse to use for this procedure? A. 18 B. 20 C. 22 D. 24

B

The nurse teaches a patient who has asthma about peak flow meter use. Which action by the patient indicates that teaching was successful? A. The patient takes montelukast (Singulair) for peak flows in the red zone. B. The patient uses albuterol (Proventil) metered dose inhaler (MDI) for peak flows in the yellow zone. C. The patient inhales rapidly through the peak flow meter mouthpiece. D. The patient calls the health care provider when the peak flow is in the green zone.

B

The patient presents with the following blood gas values: pH: 7.25 paCo2: 36 HCO3: 20 What is the state of the patient with these lab values? A. Respiratory Alkalosis, uncompensated B. Metabolic Alkalosis, uncompensated C. Metabolic Acidosis, uncompensated D. Respiratory Alkalosis, partially compensated

B

When caring for a patient with renal failure on a low phosphate diet, the nurse will inform unlicensed assistive personnel (UAP) to remove which food from the patient's food tray? A. Fried chicken breast B. Milk carton C. Mixed green salad D. Grape juice

B

The nurse caring for a homeless patient at risk for tuberculosis (TB) will include which symptoms of the disease when educating the patient? Select all that apply. A. Productive cough that later turns to a dry, hacking cough B. Night sweats C. Low-grade morning fever D. Fatigue E. Weight loss

B, D, E

The nurse is assessing the client with chronic emphysema. Which finding should the nurse expect?

Barrel Chest appearance

Which medication prescribed to the patient diagnosed with hemorrhoids does the nurse correlate to the treatment of pain?

Benzocaine

The nurse monitors for which assessment data that indicates active bleeding in the patient diagnosed with peptic ulcer disease?

Bright red blood in emesis

A patient who is lethargic and exhibits deep, rapid respirations has the following arterial blood gas (ABG) results: pH 7.32, PaO2 88 mm Hg, PaCO2 37 mm Hg, and HCO3 16 mEq/L. How should the nurse interpret these results? A. Respiratory acidosis B. Respiratory alkalosis C. Metabolic acidosis D. Metabolic alkalosis

C

A patient who was involved in a motor vehicle crash has had a tracheostomy placed to allow for continued mechanical ventilation. How should the nurse interpret the following arterial blood gas results: pH 7.48, PaO2 85 mm Hg, PaCO2 32 mm Hg, and HCO3 25 mEq/L? A. Metabolic alkalosis B. Metabolic acidosis C. Respiratory alkalosis D. Respiratory acidosis

C

A patient with elevated serum potassium is being treated with intravenous insulin and dextrose. The patient states, "I do not have diabetes. Why am I receiving insulin?" Which statement by the nurse is most appropriate? A. "You may have early diabetes, and you will need further tests to rule this out." B. "The insulin is given to counteract the glucose we are giving you to help lower your potassium level." C. "Because your potassium is so high, the insulin helps to decrease the levels by moving potassium into your cells." D. "The insulin will help decrease your potassium by making your kidneys get rid of potassium."

C

After which diagnostic study should the nurse observe the patient for symptoms of pneumothorax? A. Pulmonary function test B. Ventilation-perfusion scan C. Thoracentsis D. Positron emission tomography (PET) scan

C

Following a parathyroidectomy, a patient complains of "a tingling and twitching feeling around my mouth." Which assessment should the nurse complete immediately? A. Abnormal serum potassium level B. Decreased thyroid hormone level C. Presence of the Chvostek's sign D. Bleeding on the patient's dressing

C

The following assessment of a patient with pneumonia, the nurse identifies a nursing diagnosis of impaired gas exchange based on which finding? A. Production of greenish purulent sputum B. Crackles in both lower lobes C. SpO2 of 86% D. Temperature of 101.4 F (38.6C)

C

The nurse is assessing a short peripheral catheter after removal and it appears that the catheter tip is missing. What does the nurse do next? A. Assess the extremity for coldness, cyanosis, or numbness B. Apply firm pressure to the insertion site. C. Assess the patient for symptoms of emboli. B. Notify the health care provider

C

The nurse is preparing to start an infusion of 15% dextrose. Why would the nurse infuse the solution through a central line? A. The solution should not be mixed with other drugs or solution B. The patient could be at risk for fluid over- load. C. Osmolarity of the solution could cause phlebitis or thrombosis. D. Viscosity of the solution would slow the infusion.

C

The nurse is providing care to a patient who is diagnosed with chronic obstructive pulmonary disease (COPD). The patient's pulse oximetry is 93% on room air with a current respiratory rate of 35 breaths per minute. The most recent chest x-ray indicates a flattened diaphragm with infiltrates. The patient is currently febrile with an increased number of white blood cells (WBCs) noted on the latest complete blood count (CBC). Which order does the nurse question for this patient based on the current data? A. Raise the head of the patient's bed B. Chest physiotherapy (CPT) every 4 hours while awake C. Oxygen therapy via nasal cannula at 3 to 4 L/min D. Add humidification to the oxygen source

C

The nurse provides care for a patient who is experiencing hypomagnesemia. Which food choice is best for this patient? A. A medium-sized banana B. One medium-sized baked potato C. Three ounces of cooked halibut D. A half-cup of cooked black-eyed peas

C

The nurse provides care to a patient whose serum potassium level is 3.4 mEq/L. Which health-care provider prescription does the nurse question based on this data? A. Basic metabolic panel (BMP) every day in the morning B. Continuous cardiopulmonary monitoring C. 10 mEq KCl (potassium chloride) in 100 mL normal saline slow IVP (intravenous push) D. 25 mg spironolactone (Aldactone) PO (per os) every day

C

The nurse recognizes which clinical manifestations as age-related changes that may impact fluid and electrolyte in the older adult? Select all that apply. A. Increased salivation B. Increased urine output C. Decreased sense of smell D. Decreased visual acuity E. Changes in taste sensation

C, D, E

In monitoring a patient immediately after a carotid endarterectomy (CEA), the patient demonstrates impaired swallowing. The nurse correlates this finding to compression of which cranial nerve (CN)?

CN X, Vagus

Which finding about a patient with polycythemia vera is most important for the nurse to report to the health care provider?

Calf swelling and pain

Which menu choice indicates that the patient understands the nurse's teaching about recommended dietary choices for iron-deficiency anemia?

Cereal and whole wheat toast

The nurse is caring for a patient admitted with severe dehydration secondary to gastroenteritis. Which item on the patient's meal tray does the nurse question?

Coffee

In the patient with chest pain, which results can differentiate unstable angina from an MI?

Creatine kinase (CK)-MB enzyme elevations that peak 18 hours after the infarct.

After 2 months of tuberculosis (TB) treatment with isoniazid, rifampin (Rifadin), pyrazinamide, and ethambutol, a patient continues to have positive sputum smears for acid-fast bacilli (AFB). Which action should the nurse take next? A. Schedule directly observed therapy. B. Discuss the need for an injectable antibiotic with the health care provider. C. Teach about drug-resistant TB. D. Ask the patient whether medications have been taken as directed.

D

An adult patient diagnosed with sleep apnea has been prescribed a continuous positive airway pressure (CPAP) machine as treatment. The nurse is instructing the patient on how to use the machine. Which instruction should the nurse include? A. Straps can be loose, if that feels more comfortable B. Any size mask will work C. Do not use a humidifier at the same time D. Use relaxation exercises to reduce uncomfortable feelings from the mask

D

The nurse is conducting a health history interview for a patient who is diagnosed with chronic obstructive pulmonary disease (COPD). Which question is appropriate when assessing the patient's nutrition-metabolic pattern? A. "Do you have any pain associated with breathing?" B. "Do you have trouble getting to the toilet?" C. "Does your breathing wake you up in the night?" D. "Have you lost any weight recently?"

D

The nurse is instructing a patient with heart failure about a prescribes sodium-restricted diet. Which patient statement indicates that additional teaching is required? A. "I have to limit the intake of food with baking soda or baking powder." B. "I have to read the labels on foods to find out the sodium content." C. "I can use spices and lemon juice to add flavor to food when cooking." D. "I can use as much salt substitute as I want."

D

The nurse plans care for a hospitalized patient. Which data necessitates the inclusion of interventions to address a fluid volume deficit? A. Plus-3 edema in bilateral lower extremities B. Weight gain of 10 pounds in 3 days C. Urine output of 30 mL/hr D. Heart rate of 110 bpm

D

Which intervention should the nurse implement for a patient whose serum phosphorus is 2.0mg/dl? A. Discourage the consumption of a high-calorie diet B. Enforce contact precautions C. Strain all urine for kidney stones D. Encourage consumption of milk and yogurt

D

Which nursing action for a patient with chronic obstructive pulmonary disease (COPD) could the nurse delegate to experienced unlicensed assistive personnel (UAP)? A. Monitor for increased O2 need with exercise. B. Adjust O2 to keep saturation in prescribed parameters. C. Teach the patient about safe use of O2 at home. D. Obtain O2 saturation using pulse oximetry.

D

Which respiratory defense mechanisms most impaired by smoking? A. Filtration of air B. Reflex bronchoconstriction C. Cough reflex D. Mucociliary clearance

D

Which intravenous solution should the nurse prepare when a patient requires a hypertonic solution? A. 0.33% sodium chloride B. 2.5% dextrose in water C. 0.9% normal saline D. 5% dextrose in Lactated ringers

D RATIONALE; An example of an isotonic solution is 0.9% normal saline. An example of a hypotonic solution is 2.5% dextrose in water. An example of a hypotonic solution is 0.33% sodium chloride. An example of a hypertonic solution is 5% dextrose in Lactated ringers.

Which nursing action will be included in the plan of care for a 27-year-old male patient with bowel irregularity and a new diagnosis of irritable bowel syndrome (IBS)?

Encourage the patient to express concerns and ask questions about IBS

Which diagnostic test should the nurse anticipate when providing care to a patient who is suspected of having a hiatal hernia?

Esophagogastroduodenoscopy (EGD)

The nurse notes bright red blood in a patient's stool and records this finding with which term?

Hematochezia

When assessing a newly admitted patient, the nurse notes pallor of the skin and nail beds. The nurse should ensure that which laboratory test has been ordered?

Hemoglobin (Hgb) level

The nurse is reviewing laboratory results and notes an aPTT level of 28 seconds. The nurse should notify the health care provider in anticipation of adjusting which medication?

Heparin

The nurse is providing care to a patient diagnosed with chronic obstructive pulmonary disease (COPD)? Which factors in the patient's history support the current diagnosis? Select all that apply.

History of asthma Current cigarette smoking Working in an industrial environment

Which bowel sound noted by the nurse during the gastrointestinal assessment indicates an early bowel obstruction?

Hyperactive

What is the pathophysiologic mechanism that results in the pulmonary edema of left-sided heart failure?

Increased pulmonary hydrostatic pressure

The nurse is teaching the client diagnosed with deep vein thrombosis and prescribed warfarin. Which should the nurse teach the client? Select all that apply

Instruct the client to have regular INR laboratory work done Keep a constant amount of green, leafy vegetables in the diet Inform the client to notify the HCP if having dark, tarry stools

Which action is appropriate for the nurse to delegate to unlicensed assistive personnel (UAP)?

Label specimens obtained during percutaneous lung biopsy

The diagnosis of celiac disease may be complicated in the patient with which disorder because the clinical manifestations are similar?

Lactose intolerance

Which food should the nurse recommend for a patient who is diagnosed with iron deficiency anemia?

Lima Beans

A patient recovering from a carotid endarterectomy (CEA) has a blood pressure of 90/48 mm Hg. What should the nurse do first?

Lower the head of the bed

A patient with pneumonia has a nursing diagnosis of ineffective airway clearance related to pain, fatigue, and thick secretions. What is an expected outcome for this patient?

Lungs clear to auscultation

A patient with heart failure is having a B-type natriuretic peptide (BNP) level drawn. The nurse correlates that the results of this diagnostic provide which data? What is the purpose of this laboratory test?

Measure "overstretching" of the ventricles

Which nursing action will the nurse include in the plan of care for a 35-year-old male patient admitted with an exacerbation of inflammatory bowel disease (IBD)?

Monitor stools for blood.

The nurse provides care to a patient who is diagnosed with grade 2 stomatitis. Based on this data, which intervention does the nurse include in this patient's plan of care?

Mouth care after meals

The nurse is preparing medications for a patient experiencing an acute myocardial infarction. Which medication will dilate the patient's coronary blood vessels?

Nitroglycerin

When reviewing the results of an 83-yr-old patient's diagnostic studies, which finding would be of most concern?

Parital thromboplastic time (PTT) 80 seconds

The nurse is preparing a community program on the ways to improve cardiovascular health. What should be included in this program? Select all that apply.

Physical activity Healthy diet Lower blood pressure Smoking cessation

During an assessment a patient describes experiencing chest pain with exercise that disappears with rest. For which health problem should the nurse plan care for this client?

Stable angina

Which are risk factors for the development of hiatal hernia? Select all that apply.

Pregnancy Tobacco use Obesity

The nurse is providing care to a patient who is prescribed sequential therapy for the treatment of gastritis. Which medications does the nurse educate this patient about based on this data?

Proton pump inhibitor, amoxicillin, and clarithromycin

In administering cryoprecipitate to a patient diagnosed with idiopathic thrombocytopenia purpura, the nurse recognizes which of the following actions as the rationale for this treatment?

Provides clotting factors

The nurse and an unlicensed assitive personnel (UAP) are caring for an elderly client diagnosed with emphysema. which nursing tasks could be delegated to the UAP to improve gas exchange? Select all that apply.

Record pulse oximeter reading. Encourage deep breathing excerises Keep head of bed elevated

In adminstering a calcium channel blocker to patient diagnosed with primary hypertension, the nurse correlates a decrease to which mechanism of action of this medication?

Relaxes the muscles of the blood vessels

When percussing the patient's lung fields, the nurse notes a long, hollow, loud pitched sound over the chest. The nurse uses which term to describe this in the health record?

Resonance

The nurse notes that a patient is scheduled for a brain natriuretic peptide level to be drawn. What patient teaching should the nurse prepare for this patient?

Signs of heart failure

The nurse correlates decreased absorption of carbohydrates, fats, and proteins to damage to which organ?

Small intestine

In providing care to a patient with a deep vein thrombosis (DVT), which findings in the patient's history are contraindications for tissue plasminogen activator (tPA)? Select All That Apply.

Symptoms of a DVT present for a week Being treated for hemophilia Diagnosis of DVT made upon symptoms

The nurse monitors for which clinical manifestations of gastrointestinal bleeding in the patient hospitalized for complications associated with peptic ulcer disease?

Tarry stools

The home health nurse is visiting a patient with chronic obstructive pulmonary disease (COPD). Which nursing action is appropriate to implement for a nursing diagnosis of impaired breathing pattern related to anxiety?

Teach the patient how to use pursed-lip breathing.

The nurse is assigned to four clients who were diagnosed with gastric ulcers. Which client should be the nurse's priority when monitoring for GI bleeding?

The 70-year-old client who has crohn's disease takes daily baby aspirin of 81mg.

The nurse writes the problem "risk for impaired skin integrity" for a client with a sigmoid colostomy. Which expected outcome would be appropriate for this client?

The client will have intact skin around the stoma

The experienced nurse is instructing the new nurse. The experienced nurse explains that the preferred procedure for evaluation of peptic ulcer diseases is which test?

Upper GI endoscopy

A patient complaining of mouth soreness had gastric bypass surgery one year ago. During the assessment, the nurse notes the patient complains of constipation and diarrhea and the patient's skin pale. Which additional information is most likely needed before diagnosing this patient?

Vitamin B12 levels

Amlodipine (Norvasc) is ordered for a patient with newly diagnosed Prinzmetal's (variant) angina. When teaching the patient, the nurse will include the information that amlodipine will

decrease contractility and increases blood flow

A patient with diabetes mellitus and chronic stable angina and coronary artery disease has a new order for cozaar . The nurse should teach the patient that the primary purpose of cozaar is to

decreases workload and oxygen demands.

Which food is allowed for the patient diagnosed with gastritis when the diet is advanced to heavier liquids?

milk

A patient vomiting blood-streaked fluid is admitted to the hospital with acute gastritis. To determine possible risk factors for gastritis, the nurse will ask the patient about

use of nonsteroidal antiinflammatory drugs (NSAIDs).