exam 4
A patient in the outpatient clinic has a new diagnosis of peripheral artery disease (PAD). Which group of medications will the nurse plan to include when providing patient teaching about PAD management
Statins
A client is admitted with a gastrointestinal bleed. What client symptom may indicate a peptic ulcer perforation to the nurse?
Sudden, severe upper abdominal pain
A client is undergoing diagnostic testing for mitral stenosis. What statement by the client during the nurse's interview is most suggestive of this valvular disorder?
Atrial fibrillation
A client who has undergone a femoral to popliteal bypass graft surgery returns to the surgical unit. Which assessments should the nurse perform during the first postoperative day?
Assess pulse of affected extremity every 15 minutes at first
nurse is providing teaching for a client who has experienced an acute episode of gastritis. Which of the following instructions should the nurse include in the teaching?
A low fat diet
A 39 yr-old wornan with a history of smoking and oral contraceptive use is admitted with a venous thromboembolism (TE) and prescribed unfractionated heparin. What laboratory rest should the nurse review to evaluate the expected ettect of the heparin?
Activated partial thromboplastin time (APTT
The nurse is reviewing the laboratory test results for a 68-yr-old patient whose warfarin (Coumadin) therapy was terminated during the preoperative period. On postoperative day 2, the international normalized ratio (INR) result is 2.7 . which action by the nurse most appropriate
Administer the daily dose of warfarin.
The patient has a history of rheumatic lever and has been diagnosed with mitral valve stenosis. The patient is planning to have a biologic valve replacement.
Antibiotic prophylaxis for dental care
The triage nurse in the ED is assessing a client who reports pain and swelling in her right lower leg. The client's pain became much worse last night and appeared along with fever, chills, and sweating. The client states, "I hit my leg on the car door 4 or 5 days ago and it has been sore ever since." The client has a history of chronic venous insufficiency. What intervention should the nurse anticipate for this client?
Antibiotics to treat cellulitis
A client with a peptic ulcer is about to begin a therapeutic regimen that includes a bland diet, antacids, and famotidine. Before the client is discharged, the nurse should provide which instruction?
Avoid aspirin and products that contain aspirin.
A nurse is providing instructions for a 52-year-old client who is scheduled for a colonoscopy. The client reports that he has not had the procedure before and is very anxious about feeling pain during the procedure, Which of the following responses by the nurse is appropriate?
Before the examination your provider will give you a sedative that will make you sleepy
The nurse performing an assessment with a patient who has chronic peripheral artery disease (PAD) of the lees and an upper on the right second toe would expect to find
Capillary refill is prolonged
After the nurse teaches a patient with gastroesophageal reflux disease (GERD) about recommended dietary modifications, which diet choice for a snack 2 hours before bedtime indicates that the teaching has been effective?
Cherry gelatin and fruit.
Metoprolol is added to the pharmacologic therapy of a diabetic female diagnosed with Stage 2 hypertension. An expected therapeutic effect is
Decrease in heart rate
The most important measure in the treatment of venous stasis ulcers is
Extrinsic compression
A nurse is teaching a client who has a new prescription for esomeprazole to manage his GERD. Which of the following statements by the client indicates an understanding of the teaching
I have an increased risk of getting pneumonia while taking this medication
a 67-yr-old man with peripheral artery disease is seen in the primary care clinic. Which symptom reported by the patient would indicate to the nurse that the patient is experiencing intermittent claudication?
Patient says muscle leg pain occurs with continued exercise
The nurse is caring for a preoperative patient who has an order for vitamin K by subcutaneous injection. The nurse should verify that which laboratory study is abnormal before adiminstering the dose
Prothrombin time (PT)
A nurse practitioner, who is treating a patient with GERD, knows that this type of drug helps treat the symptoms of the disease by inhibiting the cellular pump of the gastric parietal cells. The drug classification is:
Proton pump inhibitors
While admitting a patient with pericarditis, the nurse will assess for what manifestations of this disorder?
Pulsus paradoxus
What nursing action should the nurse prioritize during the care of a patient who recently has recovered from rheumatic fever?
Teach the patient about the need for continuous antibiotic prophylaxis
When performing discharge teaching for the patient following a mechanical valve replacement, the nurse determines that further instruction is needed when the patient says
The biggest risk I have during invasive health procedures is bleeding because of my anticoagulants.
A patient is being seen in a clinic to rule out mitral valve stenosis. Which assessment data would be most significant?
The client complains of SOB when walking.
A 55-year-old male client newly diagnosed with hypertension returns to the physician's office for a routine follow-up appointment after several months of treatment with metoprolol. During the initial assessment, the nurse records the client's blood pressure (BP) as 180/90 mm Hg. The client states that the medication is not taken as prescribed. Which is the best response by the nurse?
The medication you were prescribed may cause sexual dysfunction; are you experiencing this side effect?
A postoperative patient asks the nurse why the physician ordered daily administration of enoxaparin (Lovenox): Which reply by the nurse is most appropriate?
This medication will help prevent blood clots from forming in your legs until your level of a
The nurse is unable to palpate the client's left pedal pulses, Which of the following actions should the nurse take next?
Use a Doppler ultrasound device
The nurse is caring for a client with chronic gastritis. The nurse monitors the client knowing that this client is at risk for which vitamin deficiency?
Vitamin B12
A client returns to the nursing unit after undergoing esophagogastroduodenoscopy (EGD). Which represents the most appropriate intervention by the nurse?
Withhold oral fluids until the client's gag reflex has returned
A nurse is teaching a group of middle-aged men about peptic ulcers. When discussing risk factors for peptic ulcers, the nurse
alcohol abuse and smoking
What protective mechanisms should the nurse teach the patient about using after the valve replacement?
electric razors and soft bristle toothbrushes
A nurse is caring for a client who has thrombophlebitis and is receiving a continuous. heparin infusion. Which of the following: medications should the nurse have available to reverse heparin's etfects?
heparin prevents new clots from forming rather than dissolving established clots
Black tarry stools often foul smelling caused by digestion of blood in the Gl tract is known as
melena
When teaching a patient with endocarditis how to prevent recurrence of the infection, the nurse instructs the patient to
obtain prophylactic antibiotic therapy before certain invasive medical or dental procedures
A nurse is caring for a client who is undergoing a diagnostic workup for a suspected gastrointestinal problem. The client reports hematemesis and increase pain after a meal. What would the nurse suspect this client has?
peptic ulcer disease
The client has had primary hypertension for 20 years. The nurse should assess the client for:
renal disease
When evaluating the discharge teaching for a patient with chronic peripheral artery disease (PAD) the nurse determines a need for further instruction when the patient says i will
use a heating pad on my feet at night to increase the circulation and warmth in my feet."