Fundamentals Exam 1 Practice Questions

During a health hx, an older client reports having fallen three times in the past 6 months. Which would the nurse ask to obtain other risk factors?

Ask client to walk across the room

Which nursing interventions would provide safe oxygen therapy ?

Check tubing for kinks, Post no smoking signs

Which finding with the nurse expect when caring for a client with is in hypovolemic shock (decreased CO related to low blood volume)

Cool clammy skin

When caring for a client with a diagnosis of right ventricular heart failure, the nurse expects which assessment findings?

Dependent edema and swollen hands and fingers

Which finding(s) would you support that a patient suffered from peripheral vascular disease?

Lack of hair on lower extremities, Thickened toenails (clubbing; chronic low blood oxygen), pain in calf with ambulation

An older client with shortness of breath is admitted to the hospital. The medical hx reveals a diagnosis of pneumonia 3 days ago. Which vital sign assessment would be seen as a sign that the client needs immediate medical attention ?

O2 sat 89%

Which finding would be of most concern when the nurse assesses a client with emphysema?

Oral cyanosis