NU102-Exam study Guide questions

"i need to elevate the foot of my bed while sleeping"

the nurse is caring for a client with chronic venous insufficiency. which statement indicates the client understood the discharge teaching?

"I need to elevate the foot of my bed while sleeping"

the nurse is caring for the client with chronic venous insufficient which statement indicates the client understands the discharge teaching?

venous ulcerations

the nurse is teaching a class on venous insufficiency. the nurse would identify which condition as the most serious complication of chronic venous insufficiency?

a client who has had thrombophlebitis

the nurse is teaching a group of women about risk for varicose veins. which client is at risk for varicose veins?

Clopidogrel

which arterial anticoagulant medication would the nurse anitcipate being prescribed for a client diagnosed with arterial occlusive

A superficial pink open area on the medial part of the ankle

which assessement data would support that the client has a venous stasis ulcer?

A caucasian female who is a nurse

which client would be most at risk for developing varicose veins?

wear graduated compression hose

which intervention should the nurse include when discussing how to prevent varicose veins?

Yogurt and dark green leafy vegetables

Which food should the nurse recommend for a client when discussing sources of dietary calcium

High humidity increases the effort of breeding a bronchodilator with meter dose inhaler should be readily available Smoking cessation is important to slow or stop disease progression

Which information should the nurse include in the teaching plan for the client newly diagnosed with COPD

Obtaining a bone density evaluation test

Which intervention is an example of a secondary nursing intervention win disgusting osteoporosis

Maintaining functional ability

Which is the priority goal for the client with chronic obstructive pulmonary disease

Irritability

Which mental status change my occur when a client with pneumonia is first experiencing hypoxia

Teach the client to splint the rib cage when coughing

Which nursing action would most likely be successful in reducing pleuritic chest pain in a client with pneumonia

The client has lost 1 inch in height

Which sign and symptoms indicate to the nurse the client has developed osteoporosis

Tell me more about how you are feeling

While the nurse is it is providing preoperative teaching for a client with peripheral vascular disease who is to have a below the knee amputation the client states I hate the idea of being an invalid after they cut off my leg what would be the nurse is most therapeutic response

it cause the veins to fade and disappear

a client is to have sclerotherapy to treat varicose veins. what information about the procedure should the nurse include in the teaching plan for the client?

1. Lose weight 2. Wear compression stockings 3. Elevate legs

a clinically obese client with moderately painful varicose veins chooses self-care options for managing the varicosities. the nurse should coach the client to follow which health care practices?

Instruct the client to walk daily for at least 30 minutes

Instructions should the nurse include when providing discharge instructions to a client diagnosed with peripheral arterial disease

Horse crackles in rhonchi

The nurse is assessing the respiratory status of a client who is experiencing a exacerbation of chronic obstructive pulmonary disease secondary to an upper respiratory tract infection which finding is expected

"you have incompetent valves in your legs"

the client with varicose veins asked the nurse, "what caused me to have these?" which statement by the nurse would be most appropriate?

Administer an aspirin orally Play oxygen via nasal cannula

The nurse is caring for a client diagnosed with my cardio infraction who is experiencing chest pain which intervention should a nurse implement

Assess vital signs then call the healthcare provider

The nurse is assessing a client after a above the knee amputation and notes that blood has saturated through the distal part of the dressing what should the nurse do immediately

The client is able to perform ADLs without dyspnea

The nurse is assessing a client diagnosed with congestive heart failure which signs and symptoms would indicate that the medical treatment has been effective

Medical emergency! cause by embolism, thrombosis, trauma

Acute Lim ischemia

Gangrene

The nurse is assessing a client who has history of peripheral artery disease the nurse observed that the left great toe is black the nurse determined that the black color is caused by which factor

Inability to speak

The nurse is assessing a client with chronic obstructive pulmonary disease which finding requires immediate intervention

Cool pale extremities

The nurse is assessing a client with unknown history of chronic heart failure which finding indicates for perfusion to the tissue

Immunocompromise

A client had a Matoux test resulting of an 8 mm and duration when shoot the nurse interpret the test as positive when the client is

Crossing the Legs

A client has undergone an amputation of three toes enough for moral popliteal bypass the nurse should teach the client that after surgery which leg position is contraindicated while sitting in the chair

I am able to walk further without leg pain

A client is receiving cilostazol for peripheral artery disease causing intermittent claudication which statement by the client indicates to the nurse that the medication is effective

Hearing loss

A client is receiving streptomycin to treat tuberculosis what should the nurse evaluate to determine an adverse effect of the drug

Keep the legs elevated when sitting or laying down.

A client is talking with the nurse about Unsightly varicose veins and their discomfort what information should the nurse provide to the client?

A private room to implement airborne precautions

A client newly diagnosed with tuberculosis is being admitted with the prescription for isolation precautions for tuberculosis the nurse should have signed a client which type of room

Banana Dry fruit Orange juice

A client receiving a loop diuretics should be encouraged to eat which of the following food to prevent potassium loss

Been exposed to mile bacterium tuberculosis

A client who has a positive reaction to the mantoux test how should the nurse interpret this reaction the client has

Maintain follow up monitor of liver enzyme Avoid alcohol intake Do you and may have an orange color

A client who has been diagnosed with tuberculosis has been placed on a drug therapy the medication regime include rifampin which instructions should the nurse give the client about potential adverse effect of rifampin

Elevate the foot of the bed

A client with Venus thrombus reports having pain in the legs what should the nurse do first

Just the oxygen saturation

A client with a recent diagnosis of DVT has sudden onset of shortness of breath and chest pain that increases with a deep breath what should the nurse do first

Reduces myocardial oxygen consumption Reduces blood pressure and heart rate Reduces anxiety and fear

A client with acute chest pain is receiving IV morphine sulfate which is an expected effect of morphine

Sputum specimen

A client with bacterial pneumonia is to be started on IV antibiotics the nurse should verify that which diagnostic test has been complete before administering the antibiotic

1. Elevate the head of the bed 30 to 45°

A client with deep vein thrombosis suddenly develops dyspnea, tachypnea, and chest discomfort. What should the nurse do first? 1. Elevate the head of the bed 30 to 45 degrees. 2. Encourage the client to cough and deep breathe. 3. Auscultate the lungs to detect abnormal breath sounds. 4. Contact the physician.

Elevate the clients leg on a footstool

A client with heart failure has bilateral +4 edema of the right ankle that extends up to the mid calf the client is sitting in a chair and no evident distress with the legs in a dependent position what should the nurse do first

Pedal pulses

A client with peripheral artery disease has undergone a rat from Mario public Tampa Bay pass graph the blood pressure has decrease from one 2480 to 88/62 what should the nurse assess first

Crackles auscultated post terrier halfway up the left lungs

A nurse is assessing a client with chronic emphysema which finding requires immediate intervention

1. Aerobic activity 2. Weight loss activity

A sedentary obese middle age client is recovering from surgery to remove an ambulance and a right iliac artery the nurse should develop a discharge plan with the client that will focus on participating in which activities

Diaphoresis cool and clammy skin

Along with persistent crushing chest pain which signs and symptoms would make the nurse expect that the client is experiencing a myocardial infraction

Play pressure

An older adult with a history of heart failure is admitted to the emergency department with pulmonary edema during admission what should the nurse assess first

divide ankle SBP by the highest brachial SBP. lower the abi, the worse degree of PAD. Normal is 0.9-1.3

Ankle-Brachial Index (ABI)

Physical and emotional stress

Clients who have had active tuberculosis are at risk for reoccurrence which condition increases that risk

Acute Lim ischemia chronic limd ischemia ischemic ulcers atrophy infection gangrene amputation

Complications of PAD includes

bnp

The nurse is assessing the client diagnosed with congestive heart failure which laboratory data would indicate that the client is in severe congestive heart failure

Molted skin and coldness

The nurse is assessing the lower extremities of the client with peripheral artery disease which findings are expected

Gown Gloves Surgical mask

The nurse is caring for a client who has been placed on the droplet precautions which protective gear is required to take care of the client

ABG test

The nurse is caring for a client with bacterial pneumonia the effectiveness of the clients oxygen therapy can be determined by which indicator of oxygenation

1. Increase oxygen to the tissues 2. Prevent direct trauma to the ulcer 3. Prevent infection 4 reduce pain

Oh well nourished client is admitted with stasis ulcer the nurse assesses the ulcer in Finz excavation of the skin surface as a result of slogging of inflammatory necrosis tissue the healthcare provider has prescribed the ulcer to be flush with fibrinolytic agent which goals are appropriate for the client select all that apply?

76 year old grandmother

Which family member exposed to tuberculosis would be at a higher risk for contracting the disease

Intermittent claudication

The client comes to the clinic complaining of muscle cramping and pain in both legs when walking for short periods of time which medical term would the nurse document in the medical record

Nicotine impairs the absorption of calcium causing decrease bone strength

The client diagnosed with osteoporosis asked the nurse why does smoking cigarettes cause my phone to be brittle which response by the nurse is most appropriate

Have the client sit down immediately

The client diagnosed with rule out my cardio infraction is experiencing chest pain while walking to the bathroom which action should the nurse implement first

Instruct the client to use a soft Bristol toothbrush

The client has chronic a atrial fibrillation which discharge teaching should the nurse discuss with the client

I should re-wrap the stump as often as needed

The client has had to be BKI secondary to arterial occlusive disease the nurse is instructing the client about residual limb care which statement by the client indicates that the client understands how to implement the plan of care

Apical pulse rate of 110 and 4+ pitting edema on feet

The client is admitted to the tally unit diagnosed with acute exacerbation of CHF which sign and symptoms with the nurse expect to find when assessing the client

DEXA scan

The client is being evaluated for osteoporosis which diagnostic test is the most accurate when diagnosing osteoporosis

Assess the clients apical pulse and blood pressure

The client is exhibiting ventricular tachycardia which intervention should the nurse implement first

Amiodarone

The client is experiencing multifocal premature ventricular contraction which antidysrhythmic tick medication should the nurse expect the healthcare reminder to order for the client

Call a stat code

The client shows ventricular fibrillation on the Tele Mentry of the nurses station which action student should I tell him entry nurse implement first

Determine if the client is having chest pain

The client who is one day post operative coronary artery bypass surgery is exhibiting sinus tachycardia which interventions to the nurse implement first

Enroll in a supervised exercise training program

The client with peripheral artery disease purport both leg hurts when walking what should the nurse instruct the client to do

Teaching the client about the disease and its treatment

The client with tuberculosis is to be discharged from home with nursing follow up which aspect of nursing care will have the highest priority

Teach the client how to prevent orthostatic hypotension

The healthcare provider has ordered an angiotensin converting enzyme inhibitor for the client diagnosed with CHF which discharge instruction should the nurse include

Less difficulty breathing

The nurse administers Theophylline to a client when evaluating the effectiveness of the medication what is an expected outcome

Decrease pain when breathing Decrease temperature

The nurse administers to 325 mg aspirin every four hours for a client with pneumonia the nurse should evaluate the outcome of administering the drug by assessing the client for which of the following findings

Plan for frequent rest.

The nurse has written an outcome goal demonstrates tolerance of increased activity for a client diagnosed with congestive heart failure which intervention should the nurse implement to assist the client to achieve his outcome

Gradual or acute loss of sensory and motor function

The nurse is caring for a client with penis Trumbull sis of the left lower extremity to prevent further tissue damage it is important for the nurse to observe for which of the findings

I should stop taking my medication if it makes me feel weak and dizzy

The nurse is caring for a client with prayer for artery disease who has recently been prescribed Clopidogrel,which statement by the client indicates that the nurse should continue giving information to the client about the medication

Teach the client how to count the radio pulse when taking digoxin as cardiac glycoside Instruct the client to remove salt shakers from the dinner table

The nurse is developing a discharge teaching plan for the client diagnosed with congestive heart failure which intervention should be included in the plan

Female gender

The nurse is discussing osteoporosis with a group of women which factor will the nurse identify as in non-modifiable risk factor

Take a deep abnormal breath bend forward and cough three or four times on exhalation

The nurse is planning to teach a client with chronic obstructive pulmonary disease how to cough affectively which instruction should be included

1. Wash legs and feet daily and warm water 2. Reply moisturizing cream to feet 3. Do not wear any type of nice stocking 4. Where clean white socks

The nurse is teaching a client diagnosed with arterial occlusive disease which intervention should the nurse include in the teaching

Peripheral edema

The nurse is teaching a client with chronic obstructive pulmonary disease to assess for signs and symptoms of right sided heart failure which signs and symptoms should be included in the teaching plan

The client diagnosed with myocardial infraction who has an audible S3 Heart sound

The nurse on the Tele Metairie unit has just received the a.m. shift report which client should the nurse see first

Dyspnea Crackles oliguria Decrease oxygen saturation levels

The nurse should assess the client with left sided heart failure for which findings

Visual disturbance is such as seeing yellow spot

The nurse should teach the client that signs of digoxin toxicity include

Airborne precautions

The nurse should use which type of precautions for a client being admitted to the hospital with suspected tuberculosis

Suction is cough is ineffective

To promote effective airway clearance in a client with acute respiratory distress what should the nurse do

1. Avoid smoking and exposure to the cold 2. Take aspirin or cloridogrel 3. Use extra clothes at night to provide warmth

What instructions should the nurse give a client experiencing signs and symptoms related to decreased arterial insufficiency select all that apply

1. Sodium 2. Potassium 3. Hemoglobin

When caring for a client with a newly diagnosed cardiac dysrhythmia with laboratory values are the priority of the nurse to monitor

Serum creatinine

When caring for the client who is receiving and aminoglycoside antibiotic the nurse should monitor which laboratory

Develop respiratory infections easily

When developing a discharge plan for a client with chronic obstructive pulmonary disease what information should the nurse include in the plan people with COPD

Abstain from cigarette smoking

When instructing clients on how to decrease the risk of developing chronic obstructive pulmonary disease the nurtured emphasize which instruction

Exhaling through pursed lips

When teaching a client with chronic obstructive pulmonary disease to conserve energy to conserve energy what instructions should the nurse give the client about breathing when lifting heavy objects

CoolNess of the left foot and ankle

When the nurse is assessing an individual with peripheral artery disease which clinical manifestation would indicate complete arterial obstruction in the lower left leg

Coarse crackles Tachycardia

Which are indications that a client with a history of left sided heart failure is developing pulmonary edema

Brown discolored skin

Which assessment data would the nurse expect to find in the client diagnosed with chronic venous insufficiency?

Client has numbness and tingling

Which assessment data would warrant immediate intervention in the client diagnosed with arterial occlusive disease

CK-MB

Which cardiac enzymes would the nurse expect to elevate first in a client diagnosed with a cardio in fraction

High calorie high protein diet

Which diet would be most appropriate for a client with chronic obstructive pulmonary disease

5 to 10 minutes

furosemide is administered intravenously to a client with heart failure how soon after administration should the nurse begin to see evidence of drugs desired effect

the client with arterial occlusive disease who cannot move the foot

the nurse has just received the a.m. shift report, which client would the nurse assess first?