TEST 2 (170)

During a routine checkup, the doctor expresses concerns that the patient is at a high risk for developing potential complications due to poor management of his hypertension. What are some of the problems that the patient could possibly develop? Select all that apply. Myocardial infarction Heart failure Parkinson's Disease Fainting Renal insufficiency

Myocardial infarction Heart failure Renal insufficiency

Non-pharmacological techniques can help lower blood pressure. Which of the following is not considered one of these types of techniques? Dietary changes Multivitamins Smoking cessation Limiting caffeine

Multivitamins

The nurse is volunteering at a community center to teach women about breast cancer. What should the nurse include when discussing risk factors (select all that apply)? Nulliparity Age 30 or over Early menarche Late menopause Personal history of colon cancer

Nulliparity Early menarche Late menopause Personal history of colon cancer

The nurse includes which of the following in teaching regarding the warning signs of cancer? Select all that apply. Persistent constipation Scab present for 6 months Curdlike vaginal discharge Axillary swelling Headache

Persistent constipation Scab present for 6 months Axillary swelling

Which lifestyle modifications if implemented correctly can help manage the health of patients with blood pressure? Select all that apply Physical activity Increased sodium intake Reduced alcohol consumption Weight gain Decreased fat consumption

Physical activity Reduced alcohol consumption Decreased fat consumption

Most patients with hypertension are asymptomatic T or F?

true

Which signs or symptoms should the nurse report immediately because they indicate thrombocytopenia secondary to cancer chemotherapy? Select all that apply. Bruises Fever Petechiae Epistaxis Pallor

Bruises Petechiae Epistaxis

Your patient is diagnosed with Buerger's Disease (thromboangiitis obliterans). The nurse will make it priority to educate the patient about implementing? A. Low fat diet B. Blood glucose control C. Smoking cessation D. Blood pressure control

Smoking cessation

You're assessing a patient's health history for peripheral vascular disease. What signs and symptoms reported by the patient would indicate the patient may be experiencing peripheral arterial disease? Select all that apply. "I often wake up at night with leg pain and have to dangle my leg out of the bed to ease the pain." "If I stand or sit too long my legs start to feel heavy and achy." "It hurts to elevate my legs." "Sometimes when I'm walking my legs start to cramp and tingle to the point where I can't walk until the pain goes away."

"I often wake up at night with leg pain and have to dangle my leg out of the bed to ease the pain." "It hurts to elevate my legs." "Sometimes when I'm walking my legs start to cramp and tingle to the point where I can't walk until the pain goes away."

You are educating a group of young men on preventing testicular cancer. What is a correct statement by a participant regarding a testicular exam? "The best time to perform a self exam is after a shower." "The testicle should feel hard but firm." "The testicle may have minor lumps or swelling due to monthly hormonal changes." "I perform a self testicular exam once every 6 months."

"The best time to perform a self exam is after a shower."

A patient is scheduled to take Captopril. When is the best time to administer this medication? 30 minutes after a meal At bedtime In the morning 1 hour before a meal

1 hour before a meal

A patient is currently 34 weeks pregnant with her first baby. Which findings below could indicate the development of preeclampsia in this patient that would need to be reported to the physician? Select all that apply: A. 1600: blood pressure 144/100, 1700: blood pressure 120/80 B. 3+ dipstick urine protein C. 1 hour glucose tolerance test 90 mg/dL D. 0800: blood pressure 142/92, 1230: blood pressure: 144/98 E. <300 mg/dL 24-hour urine protein

3+ dipstick urine protein D. 0800: blood pressure 142/92, 1230: blood pressure: 144/98

Which patient is at highest risk for cervical cancer? A 21 year old who reports first sexual partner at the age of 14 and that she has had at least 10 sex partners. A 60 year old with a history of syphillis and cigarette smoking. A 32 year old in a monogamous relationship who declined the HPV vaccine. None of the patients are at risk for cervical cancer.

A 21 year old who reports first sexual partner at the age of 14 and that she has had at least 10 sex partners.

Which of the following patients does not have a risk factor for hypertension? A 25 year old male with a BMI of 35. A 35 year old female with a total cholesterol level of 100. A 68 year old male who reports smoking 2 packs of cigarettes a day. A 40 year old female with a family history of hypertension and diabetes.

A 35 year old female with a total cholesterol level of 100.

Which of the following patients is not a candidate for a beta blocker medication? A 45 year old male with angina. A 39 year old female with asthma. A 25 year old female with migraines. A 55 year old male with a history of two heart attacks.

A 39 year old female with asthma.

Who is at higher risk for developing peripheral vascular disease? Select all that apply An 85 year old smoker with a history of hypertension An 80 year old black man A 20 year old Hispanic women with a BMI of 19 A 65 year old women A man who's mother had peripheral vascular disease

A 85 year old smoker with a history of hypertension An 80 year old black man A man who's mother had peripheral vascular disease

A client is having a diagnostic workup for colorectal cancer. Which factors in the client's history will place the client at an increased risk for this type of cancer? Select all that apply. A high-fiber diet. A diet high in fats. Minimal alcohol intake. A diet high in carbohydrates. A history of inflammatory bowel disease. A maternal grandfather who had a history of heart disease.

A high diet in fats. A diet high in carbohydrates. A history of inflammatory bowel disease.

You're assessing a patient's health history for peripheral vascular disease. What signs and symptoms reported by the patient would indicate the patient may be experiencing peripheral arterial disease? Select all that apply: A. "I often wake up at night with leg pain and have to dangle my leg out of the bed to ease the pain." B. "If I stand or sit too long my legs start to feel heavy and achy." C. "It hurts to elevate my legs." D. "Sometimes when I'm walking my legs start to cramp and tingle to the point where I can't walk until the pain goes away."

A. "I often wake up at night with leg pain and have to dangle my leg out of the bed to ease the pain." C. It hurts to elevate my legs D. Sometimes when i walk my legs start to cramp and tingle to the point where I cant walk until the pain goes away.

A 37 week pregnant patient is admitted with severe preeclampsia. The patient begins to experiences a tonic-clonic seizure. Which of the following would the nurse AVOID during the seizure? A. Placing the patient in a supine position B. Holding down the patient's head to prevent injury C. Staying with the patient and activating the emergency response team D. Timing the seizure E. Providing 8 to 10 L of oxygen

A. Placing the patient in a supine position B. Holding down the patient's head to prevent injury

In a patient with preeclampsia, what signs and symptoms indicate that the patient has a high risk of experiencing a seizure due to central nervous system irritability? Select all that apply: A. You note bouncing of the foot when it is quickly dorsiflexed. B. Patellar and bicep deep tendon reflexes are graded 4+. C. Platelet count 200,000 D. Patient reports a decrease in headache pain.

A. You note bouncing of the foot when it is quickly dorsiflexed. B. Patellar and bicep deep tendon reflexes are graded 4+.

The nurse knows that preeclampsia tends to occur during what time in a pregnancy? A. before 20 weeks B. in the third trimester and postpartum C. after 20 weeks D. in the first and second trimester

After 20 weeks

A patient has severe peripheral venous disease. What important information below will the nurse provide to the patient about how to alleviate signs and symptoms associated with the disease? Select all that apply: A. Elevate the lower extremities below heart level frequently B. Application of compression stockings C. Limit long periods of standing and sitting D. Use the knee-flexed position while lying in bed

Application of compression stockings Limit long periods of standing and sitting

Your patient has returned from a peripheral artery bypass for the treatment of peripheral arterial disease. The nurse will make it PRIORITY to? A. Assess the surgical site for excessive drainage B. Assess and grade lower extremity pulses bilaterally C. Apply compression stockings D. Elevate the lower extremity above heart level

Assess and grade lower extremity pulses bilaterally

The nurse has received in the report that the client receiving chemotherapy has severe neutropenia. Which of the following does the nurse plan to implement? Select all that apply. Assess for fever. Observe for bleeding. Administer pegfilgrastim (Neulasta). Do not permit fresh flowers or plants in the room. Do not allow his 16-year-old son to visit. Teach the client to omit raw fruits and vegetables from his diet.

Assess for fever. Administer pegfilgrastim (Neulasta). Do not permit fresh flowers or plants in the room. Teach the client to omit raw fruits and vegetables from his diet.

. The MOST common cause of peripheral arterial disease is? A. Diabetes B. Deep vein thrombosis C. Atherosclerosis D. Pregnancy

Atherosclerosis

A client who is receiving chemotherapy for breast cancer develops myelosuppression. Which instructions should the nurse include in the client's discharge teaching plan? Select all that apply. Avoid contact sports. Wash hands frequently. Increase intake of fresh fruits and vegetables. Avoid crowded places such as shopping malls. Treat a sore throat with over-the-counter products. Avoid people who have received live attenuated vaccines.

Avoid contact sports. Wash hands frequently. Avoid crowded places such as shopping malls. Avoid people who have received live attenuated vaccines.

You're providing an in-service to a group of new labor and delivery nurse graduates about the pathophysiology of preeclampsia. Which statement by one of the group participants demonstrates they understood how this condition develops? A. "The basal arteries of the myometrium fail to widen to support blood flow to the placenta." B. "The placenta experiences ischemia because the spiral arteries of the uterus fail to reshape and increase in diameter." C. "The cardiovascular system of the mother fails to compensate for the increased blood flow from the fetus and placental ischemia occurs." D. "If the mother experience uncontrolled hypertension and proteinuria, it compromises blood flow to the placenta and leads to preeclampsia."

B. "The placenta experiences ischemia because the spiral arteries of the uterus fail to reshape and increase in diameter."

You're providing discharge teaching to a patient with peripheral arterial disease. Which statement by the patient requires you to re-educate the patient? A. "It is important I quit smoking." B. "To prevent my feet and legs from getting too cold at night, I will use a heating pad. C. "A walking program would be beneficial in treatment of my PAD." C. "I will avoid wearing tight socks or shoes."

B. "To prevent my feet and legs from getting too cold at night, I will use a heating pad.

A 37-year-old female patient who is 36 weeks pregnant is diagnosed with mild preeclampsia. The nurse will include what information in the patient's education? Select all that apply: A. Report weight gain of >4 lbs in one week to physician B. Incorporate foods like eggs, nuts, fish, meat in your diet C. Follow a no salt diet D. Headache and vision changes are expected side effects of this condition and cause no reason for concern. E. Importance of monitoring urine protein at home F. Lying on left-side is recommended along with rest G. Report a decrease in fetal activity immediately

B. Incorporate foods like eggs, nuts, fish, meat in your diet E. Importance of monitoring urine protein at home F. Lying on left-side is recommended along with rest G. Report a decrease in fetal activity immediately

Your patient is 36 weeks pregnant with severe preeclampsia. The physician has ordered lab work to assess for HELLP Syndrome. Which findings on the patient's lab results correlate with HELLP Syndrome? A. Hemoglobin 12 g/dL B. Platelets 90,000 μL C. ALT 100 IU/L D. AST 90 IU/L E. Glucose 350 mg/dL F. Abnormal RBC peripheral smear

B. Platelets 90,000 μL C. ALT 100 IU/L D. AST 90 IU/L F. Abnormal RBC peripheral smear

Select all the risk factors below that increases a woman's risk for developing preeclampsia: A. Nulligravida B. Primigravida C. BMI 34 D. Pregnant with twins E. Maternal history of preeclampsia F. Age: 25-years-old G. History of Lupus and Diabetes

B. Primigravida C. BMI 34 D. Pregnant with twins E. Maternal history of preeclampsia G. History of Lupus and Diabetes

How would the nurse check for clonus in a patient with preeclampsia? A. Assess the patellar and bicep tendon with a reflex hammer and grade the reaction. B. Assess for muscular rigidity by having the patient extend the arms and place resistance against the arms. C. Assess for beating of the foot when the foot is quickly dorsiflexed. D. Assess for dorsiflexion of the foot by quickly plantar flexing the foot.

C. Assess for beating of the foot when the foot is quickly dorsiflexed.

Which family of drugs are the following medications considered: Amlodipine, Verapamil, Diltiazem? Beta blockers (BB) ACE Inhibitors (ACEI) Angiotension Receptor Blockers (ARBs) Calcium Channel Blockers (CCBs)

Calcium Channel Blockers (CCBs)

Your patient with preeclampsia is started on Magnesium Sulfate. The nurse knows to have what medication on standby? A. Acetylcysteine B. Calcium carbonate C. Oxytocin D. Calcium gluconate

Calcium gluconate

Which of the following systems of the body are affected by hypertension? Cardiovascular, brain, kidney, eyes Cardiovascular, gastrointestinal, reproductive, and kidney Brain, respiratory, kidney, cardiovascular None of the options are correct

Cardiovascular, brain, kidney, eyes

Which of the following drugs is NOT considered an Angiotension Receptor Blocker (ARBs) medication used in hypertension? Catapres Losartan Benicar Valsartan

Catapres

Which interventions are appropriate for a client with leukemia who is experiencing thrombocytopenia? Select all that apply. Use a straight edge razor for shaving Obtain a rectal temp every 4 hours Check secretions for frank or occult blood Give vitamin K by the intramuscular route Encourage fluid intake to avoid constipation Provide oral sponges or soft toothbrush for oral care

Check secretions for frank or occult blood Encourage fluid intake to avoid constipation Provide oral sponges or soft toothbrush for oral care

. A patient has an arterial ulcer on the lower extremity. What risk factors for peripheral arterial disease are in the patient's health history? Select all that apply: A. Pregnancy B. Being Female C. High Cholesterol D. Diabetes Mellitus E. Uncontrolled hypertension F. Varicose veins G. Smoking

High cholesterol Diabetes Mellitus Uncontrolled HTN Smoking

Preeclampsia occurs during the second half of pregnancy and puts the mother and baby at risk. Which are examples of these risks? Select all that apply Death Premature birth Increased kidney function Impaired liver function Increased cardiac output

Death Premature birth Impaired liver function

On assessment of a patient with leukemia, how would the patient present clinically? Decreased hgb and hct, decreased platelets, and elevated or normal WBCs with enlarged lymph nodes. Elevated hgb and hct, decreased platelets, decreased WBCs, and bradycardia. Normal hgb and hct, normal platelets, and increased WBCs. Decreased hgb and hct, increased platelets, and elevated WBCs.

Decreased hgb and hct, decreased platelets, and elevated or normal WBCs with enlarged lymph nodes.

The community health nurse is preparing a poster for an educational session for a group of women and will be discussing the risk factors associated with breast cancer. Which risk factors for breast cancer should the nurse list on the poster? Select all that apply. Multiparity Early menarche Early menopause Family history of breast cancer High dose radiation exposure to the chest Previous cancer of the breast, uterus, or ovaries

Early menarche Family history of breast cancer High dose radiation exposure to the chest Previous cancer of the breast, uterus, or ovaries

Your patient reports experiencing dull and achy sensations in the lower extremities. You note that the lower extremities have edema and brownish pigmentation. Pulses are present bilaterally and the extremities feel warm to the touch. To help alleviate the patient's symptoms, the nurse will position the lower extremities in the? A. Dependent position B. Horizontal position C. Elevated position above heart level D. Knee-flexed position

Elevated position above heart level

The signs and symptoms of preeclampsia are mainly occurring because substances released by the ischemic placenta cause damage to the _________________ in mom's body, which injures organs. A. spiral arteries B. epithelial cells C. endothelial cells D. juxtaglomerular cells

Endothelial cells

A 68-year-old Caucasian male comes to the clinic complaining of a cramp-like pain and discomfort in the extremities that is relieved when resting, which has resulted in lack of exercise. He reports to having smoked a pack of cigarettes a day for the past 42 years, and it is noted that peripheral vascular disease, along with diabetes and hypertension, runs in his family. Upon physical assessment, pedal pulses in both feet are absent, and the patient's feet feel cool to the touch. What are this patient's non-modifiable risk factors for peripheral vascular disease? Select all that apply. Ethnicity Smoking habits 68 years of age Family history Lack of exercise

Ethnicity 68 years of age Family history

True or False: Peripheral venous disease can occur due to narrowing of the valves in the veins of the lower extremities.

False

Select below all the characteristics that can present with an arterial ulcer: A. Found on the lateral malleolus, dorsum of foot, or end of toes B. Found on the medial malleolus or medial part of lower leg C. Deep, round, defined edges and has a "punched out" appearance D. Minimal drainage E. Edematous F. Brown pigmented skin surrounding the ulcer G. Wound base is pale

Found on the lateral malleolus, dorsum of foot, or end of toes C. Deep, round, defined edges and has a "punched out" appearance D. Minimal drainage G. Wound base is pale

Which statements regarding hypertension are correct? Select all that apply. Hypertension is a major risk factor for cardiovascular disease. Hypertension is more frequent among younger men than in younger women. Hypertension is more frequent in premenopausal women compared to postmenopausal women. Hypertension is more frequent among white persons than among black persons. Hypertension is one of the most common health problems for adults.

Hypertension is more frequent among younger men than in younger women. Hypertension is a major risk factor for cardiovascular disease. Hypertension is one of the most common health problems for adults.

A patient is being discharged home on Hydrochlorothiazide (HCTZ) for treatment of hypertension. Which of the following statements by the patient indicates they understood your discharge teaching about this medication? I will make sure I consume foods high in potassium. I will only take this medication if my blood pressure is high. I understand a dry cough is a common side effect with this medication. I will monitor my glucose levels closely because this medication may mask symptoms of hypoglycemia.

I will make sure I consume foods high in potassium.

After teaching a client who is recovering from a colon resection, the nurse assesses the client's understanding. Which statements by the client indicate a correct understanding of the teaching, (select all that apply)? I must change the ostomy appliance daily and as needed. I will use warm water and a soft washcloth to clean around the stoma. I might start bicycling and swimming again once my incision has healed. Cutting the flange will help it fit snugly around the stoma to avoid skin breakdown. I will check the stoma regularly to make sure that it stays a deep red color. I must avoid dairy products to reduce gas and odor in the pouch.

I will use warm water and a soft washcloth to clean around the stoma. I might start bicycling and swimming again once my incision has healed. Cutting the flange will help it fit snugly around the stoma to avoid skin breakdown.

When caring for a client with a central venous line, which of the following nursing actions should be implemented in the plan of care for chemotherapy administration? Select all that apply. Verify patency of the line by the presence of a blood return at regular intervals. Administer a cytotoxic agent to keep the regimen on schedule even if blood return is not present. Inspect the insertion site for swelling, erythema, or drainage If unable to aspirate blood, reposition the client and encourage the client to cough. Contact the health care provider about verifying placement if the status is questionable.

If unable to aspirate blood, reposition the client and encourage the client to cough. Contact the health care provider about verifying placement if the status is questionable. Inspect the insertion site for swelling, erythema, or drainage. Verify patency of the line by the presence of a blood return at regular intervals.

A nurse is participating in primary prevention efforts directed against cancer. In which activities is the nurse most likely to engage? Select all that apply. Demonstrating breast self-examination methods to women. Instructing people on the use of chemoprevention. Providing vaccines against certain cancers. Screening teenage girls for cervical cancer. Teaching teens the dangers of tanning beds.

Instructing people on the use of chemoprevention. Providing vaccinations against certain cancers. Teaching teens the dangers of tanning beds.

A 28 year old female patient asks you when it is best to perform a self breast exam. Your response is the following: It is best to perform a self breast exam 7 to 10 days after menses. It is best to perform a self breast exam every 6 months on the 1st day of bleeding. It is best to perform a self breast exam on the same time every month of the day. It is best to perform a self breast exam on the day after ovulation.

It is best to perform a self breast exam 7 to 10 days after menses.

As an oncological nurse, you know what finding is correct regarding breast cancer? Masses are usually felt in the upper outer quadrant beneath the nipple or axilla. Women who've had a late menarche and early menopause are at risk for breast cancer. Nipple retraction is never present. The mass is typically painful and red.

Masses are usually felt in the upper outer quadrant beneath the nipple or axilla.

Your patient has severe peripheral arterial disease. When the lower extremities are elevated you would expect them to appear _______________ and, when they are in the dependent position you would expect them to appear _________________. Fill in the blanks: A. cyanotic; rubor B. rubor; pallor C. cyanotic, pallor D. pallor; rubor

Pallor;rubor

A 39 week pregnant patient is in labor. The patient has preeclampsia. The patient is receiving IV Magnesium Sulfate. Which finding below indicates Magnesium Sulfate toxicity and requires you to notify the physician? A. Deep tendon reflex 4+ B. Respiratory rate of 13 breaths per minute C. Urinary output of 600 mL over 12 hours D. Clonus presenting in the lower extremities E. Patient reports flushing or feeling hot

Patient reports flushing or feeling hot

A 6-year-old child with leukemia is hospitalized and is receiving combination chemotherapy. Laboratory results indicate that the child is neutropenic, and the nurse prepares to implement protective isolation procedures. Which interventions would the nurse initiate? Select all that apply. Restrict all visitors. Place the child on a low-bacteria diet Change dressings using sterile technique. Encourage the consumption of fresh fruits and vegetables. Perform meticulous hand washing before caring for the child. Allow fresh-cut flowers in the room as long as they are kept in a vase with fresh water.

Place the child on a low-bacteria diet Change dressings using sterile technique. Perform meticulous hand washing before caring for the child.

In formulating a nursing diagnosis of risk for infection for a client with chronic lymphoid leukemia (CLL), nursing measures should include (Select all that apply)? Maintaining a clean technique for all invasive procedures. Placing the client in protective isolation. Limiting visitors who have colds and infections. Ensuring meticulous hand washing by all persons coming in contact with the client.

Placing the client in protective isolation. Limiting visitors who have colds and infections. Ensuring meticulous hand washing by all persons coming in contact with the client.

Select all the risk factors below that increases a woman's risk for developing preeclampsia: Nulligravida Primigravida BMI 34 Pregnant with twins Maternal history of preeclampsia Age: 25-years-old History of Lupus and Diabetes

Primigravida BMI 34 Pregnant with twins Maternal history of preeclampsia History of Lupus and Diabetes

A client with carcinoma of the lung develops the syndrome of inappropriate antidiuretic hormone (SIADH) as a complication of the cancer. The nurse anticipates that which of the following may be prescribed? Select all that apply. Radiation Chemotherapy Increased fluid intake Serum sodium blood levels Medication that is antagonistic to antidiuretic hormone (ADH) Decreased oral sodium intake

Radiation Chemotherapy Serum sodium blood levels Medication that is antagonistic to antidiuretic hormone (ADH)

A nurse providing education about hypertension to a community group is discussing the high risk for cardiovascular complications. What are risk factors for cardiovascular problems in clients with hypertension? Select all that apply. Gall bladder disease Smoking Diabetes Mellitus Physical inactivity Frequent upper respiratory infections

Smoking Diabetes Mellitus Physical inactivity

A patient is diagnosed with Raynaud's Disease. Which explanations below most accurately describe this condition? Select all that apply A. Raynaud's Disease is triggered by cold temperatures or stress. B. Raynaud's Disease occurs due to a vasospasm of the peripheral veins. C. Raynaud's Disease affects the toes, fingers, and sometimes the ears and nose. D. Raynaud's Disease is prevented by glucose control.

Raynauds disease is triggered by cold temps or stress Raynauds disease affects the toes, fingers, ears, and nose

The nurse is reviewing the laboratory test results for a client receiving chemotherapy. The nurse notes that the white blood cell count is extremely low and places the client on neutropenic precautions. Which interventions are a component of these types of precautions? Select all that apply. Allowing only fresh fruits in the client's room Removing fresh cut flowers from the client's room Encouraging the client to eat any type of fresh vegetables Instructing family members on the proper handwashing technique Instructing family members to wear a mask when entering the client's room

Removing fresh cut flowers from the client's room Instructing family members on the proper handwashing technique Instructing family member to wear a mask when entering the client's room

A patient with leukemia is entering the period known as "the nadir". As the nurse, you know the following about this period: The patient is at greatest risk for bleeding and the patient can experience a platelet count of 50,000 or less during this period. The patient is at greatest risk for blood clots and the patient may experience a platelet count of 500,000 or more. The patient is at risk for elevated hgb and hct, therefore, are at risk for stroke. The patient will need to be placed in reverse isolation due to low WBC count.

The patient is at greatest risk for bleeding and the patient can experience a platelet count of 50,000 or less during this period.

A woman who is in her 25th week of pregnancy is believed to have a severe diagnosis of preeclampsia. What information gathered by the doctor will prove this diagnosis to be accurate? Select all that apply. The patient reports having epigastric pain and blurry vision. Blood pressure is 130/70 mmHg. Serum creatinine concentration greater that 1.1 mg/dL. The doctor hears crackles in the patients lungs. Normal urine output.

The patient reports having epigastric pain and blurry vision. Serum creatinine concentration greater that 1.1 mg/dL. The doctor hears crackles in the patients lungs.

Your patient has a severe peripheral venous disease. During the head-to-toe nursing assessment, you would expect to find what skin characteristics of the lower extremities? Select all that apply Thick, tough Thin, scaly Hairless Brown pigmented

Thick, tough Brown pigmented

Your patient has severe peripheral venous disease. During the head-to-toe nursing assessment, you would expect to find what skin characteristics of the lower extremities? Select all that apply: A. Thick, tough B. Thin, scaly C. Hairless D. Brown pigmented

Thick, tough Brown pigmented

You are teaching a group of new nurse graduates hired on your oncology unit about oncological disorders. Which statement by a nursing graduate about Hodgkin's Disease require re-education? This disease always presents with hallmark signs of bone pain in the ribs, spine, and pelvis. Reed Stenberg cells are present in the nodes. A positive CT scan of liver and spleen presents. A positive biopsy of the lymph nodes with cervical nodes most often affected.

This disease always presents with hallmark signs of bone pain in the ribs, spine, and pelvis.

True or False: Peripheral arterial disease leads to a decrease in rich oxygenated blood being delivered to the lower extremities, which leads to ischemia and necrosis of skin tissue.

True

A patient has an ulcer on the medial malleolus. The ulcer is shallow with irregular edges. The wound base is red. Wound drainage is also present. What type of ulcer is this based on the scenario's description? A. venous ulcer B. arterial ulcer C. diabetic ulcer

Venous ulcer

A patient with hypertension is started on a new medication for treatment and is reporting a continuous dry cough. Which of the following medications do you suspect is causing this problem? Lisinopril Labetalol Losartan Hydrochlorothiazide

lisinopril

As a shift leader making out patient assignments for the oncoming shift, how would you assign care of a patient that has had a sealed radiation source placed? You decide to rotate staff and assign a nurse who has not provided care for the patient. You decide to assign the same nurse who had the patient yesterday to continue providing quality care. None of the options are correct. Sealed radiation therapy has no special staffing restrictions. You decide to assign one nurse to care for all the patients undergoing sealed radiation therapy to provide continum of care.

You decide to rotate staff and assign a nurse who has not provided care for the patient.

In a patient with preeclampsia, what signs and symptoms indicate that the patient has a high risk of experiencing a seizure due to central nervous system irritability? Select all that apply: You note bouncing off the foot when it is quickly dorsiflexed. Patellar and bicep deep tendon reflexes are graded 4+. Platelet count 200,000. Patient reports a decrease in headache pain.

You note bouncing off the foot when it is quickly dorsiflexed. Patellar and bicep deep tendon reflexes are graded 4+.

A patient who has underwent a bone marrow transplant is at most risk for what? Bleeding and infection Congestive heart failure Liver failure HIV

bleeding and infection