PERFUSION-2ND YEAR-PREP U

The nurse is assessing a client who has been admitted with impaired arterial circulation in the lower extremities due to diabetes mellitus. Which of the following would be expected findings? A. Redness, inflammation, and sharp pain with calf muscle contraction B. Absence of dorsalis pedis pulse, coolness, and decreased sensation in the feet C. Capillary refill in the toes within 3 seconds D. Edema and coolness in the ankles and feet

B. Absence of dorsalis pedis pulse, coolness, and decreased sensation in the feet

When preparing to take a client's blood pressure, the nurse notes that the sphygmomanometer is visibly soiled. What is the correct action by the nurse? A. Use the sphygmomanometer B. Cleanse and disinfect the sphygmomanometer C. Send the sphygmomanometer for sterilization D. Discard the sphygmomanometer in the trash

B. Cleanse and disinfect the sphygmomanometer

Nurse T. has auscultated Mr. Weinstein's apical pulse while a colleague simultaneously palpated his radial pulse. This assessment of Mr. Weinstein's apicalradial pulse indicates that the two values differ significantly, a finding that suggests which of the following health problems? A. Chronic obstructive pulmonary disease (COPD) B. Coronary artery disease C. Peripheral vascular disease D. Pulmonary embolism

C. Peripheral vascular disease

A nursing class is practicing the measurement of blood pressure. The finding in one otherwise healthy man, 36 years old, is 130/88. This man requires follow-up for prehypertension. Which of the following lifestyle factors would the nurse discuss with the client? A. Physical activity, needed medication, and the DASH diet B. Weight reduction, the DASH diet, and physical activity C. Physical activity, dietary sodium, and the DASH diet D. The DASH diet, sexual dysfunction related to required medications, and physical activity

C. Physical activity, dietary sodium, and the DASH diet

A pregnant client is planning a vacation to a different state and questions the nurse concerning precautions. Which suggestion should the nurse prioritize for this client who will be traveling by automobile? A. Sit in the back seat with feet elevated. B. Travel no more than 120 miles daily. C. Stop and walk every 2 hours. D. Limit trips away from home, greater than 200 miles.

C. Stop and walk every 2 hours.

When teaching parents of a toddler with congenital heart disease, the nurse should explain all medical treatments and emphasize which instruction? A. "Reduce your child's caloric intake to decrease cardiac demand." B. "Make sure your child avoids contact with small children to reduce overstimulation." C. "Relax discipline and limit-setting to prevent crying." D. "Try to maintain your child's usual lifestyle to promote normal development."

D. "Try to maintain your child's usual lifestyle to promote normal development."

A 17-year-old client with a long-standing diagnosis of bulimia nervosa has been admitted to the emergency department after collapsing in a mall. The care team that admits the client to the hospital should prioritize which assessment? A. Complete blood count and differential B. Evidence of injury to skin by cutting C. Psychosocial assessment and determination of coping skills D. Cardiac assessment and measurement of electrolyte levels

D. Cardiac assessment and measurement of electrolyte levels

A client is hospitalized for repair of an abdominal aortic aneurysm. The nurse must be alert for signs and symptoms of aneurysm rupture and thus looks for which of the following? A. Higher than normal blood pressure and falling hematocrit B. Slow heart rate and high blood pressure C. Constant, intense back pain and falling blood pressure D. Constant, intense headache and falling blood pressure

D. Constant, intense headache and falling blood pressure

Increased levels of low-density lipoprotein (LDL) combined with certain risk factors can lead to the development of which medical condition? A. Diabetes B. Glaucoma C. Hypertension D. Heart disease

D. Heart disease

Alteplase recombinant, or tissue plasminogen activator (t-PA), a thrombolytic enzyme, is administered during the first 6 hours after onset of myocardial infarction (MI) to: A. reduce coronary artery vasospasm. B. control chest pain. C. control the arrhythmias associated with MI. D. revascularize the blocked coronary artery.

D. revascularize the blocked coronary artery.