Med-surg

A client's laboratory report indicates the presence of hypokalemia. For which clinical manifestations associated with hypokalemia should the nurse assess the client? (Select all that apply.) 1 Thirst 2 Anorexia 3 Leg cramps 4 Rapid, thready pulse 5 Dry mucous membranes

-anorexia and leg cramps

Which instructions should the nurse include in the teaching plan for a client with hyperlipidemia who is being discharged with a prescription for cholestyramine (Questran)? "Increase your intake of fiber and fluid." 2 "Take the medication before you go to bed." 3 "Check your pulse before taking the medication." 4 "Contact your health care provider if your skin or sclera turn yellow."

-increase your intake of fiber and fluid

A client arrives at the outpatient clinic with a painful leg ulcer, and the nurse performs a physical assessment. Which clinical findings in the lower extremity support a diagnosis of an arterial ulcer? (Select all that apply.) 1.) Lack of hair 2.)Thickened toe nails 3.) Pain at the ulcer site 4.) Diminished Pedal Pulse 5.) Brown skin discolorization

1.) Lack of hair 2.)Thickened toe nails 3.) Pain at the ulcer site 4.) Diminished Pedal Pulse

During administration of a whole blood transfusion, the client begins to complain of shortness of breath. The nurse notes the presence of jugular venous distension, bibasilar crackles, and tachycardia. Prioritize the following nursing actions.

1.)Elevate the head of the bed to 45 degrees 2.) apply oxygen via nasal cannula 3.) reduce flow rate 4.) administer furosemide 5.) document findings

A client has left ventricular heart failure. For which clinical indicators should the nurse assess the client? (Select all that apply.) 1.)Ascites 2.)Crackles 3 .)Peripheral edema 4.) 5.) Dyspnea on exertion 6.)Jugular vein distention

2.) crackles 5.) dyspnea on exertion

A client with a history of heart failure is admitted to the hospital with the diagnosis of pulmonary edema. For which signs and symptoms specific to pulmonary edema should the nurse assess the client? (Select all that apply.) Correct 1 Coughing Correct 2 Orthopnea Correct 3 Diaphoresis 4 Yellow sputum Incorrect 5 Dependent edema

Coughing Correct 2 Orthopnea Correct 3 Diaphoresis

When a client has a myocardial infarction, one of the major manifestations is a decrease in conductive energy provided to the heart. What is most important for the nurse to assess that has a direct relationship to the action potential of the heart?

Strength of contractions

A nurse providing care to a client who had major abdominal surgery monitors the client for postoperative complications. Which clinical findings are indicators of impending hypovolemic shock?

Thirst, cool skin, and orthostatic hypotension

A nurse is completing the admission assessment of a client with peripheral arterial disease. What assessments are consistent with this diagnosis? (Select all that apply.) 1.)Absence of hair on the toes 2.)Superficial ulcer with irregular edges 3.)Pitting edema of the lower extremities 4.)Reports of pain associated with exercising 5.)Increased pigmentation of the medial malleolus area

absence of hairs on the toes reports of pain associated with exercising

A client with chronic heart failure is taking a diuretic twice a day. The health care provider prescribes a diet that includes the intake of dietary potassium. What foods that have a higher amount of potassium should the nurse instruct the client to consume? (Select all that apply.) 1 Corn Correct 2 Bananas 3 Strawberries Incorrect 4 Cucumber salad Incorrect 5 Mashed sweet potatoes Correct 6 Baked potatoes with skins

bananas baked potatoes

A nurse assesses a client's intravenous site. What clinical finding leads the nurse to conclude that the intravenous (IV) site has been infiltrated? (Select all that apply.) 1 Redness along the vein 2 Coolness of skin near the insertion site 3 Swelling around the insertion site 4 Cessation in flow of solution 5 Vein feels hard and cordlike

coolness of skin near the insertion site swelling around the insertion site cessation in flow of solution

Which significant risk factors for coronary heart disease carry a greater risk for women than for men? (Select all that apply.) Obesity Smoking Hypertension Correct 4 Diabetes mellitus Correct 5 Low levels of high-density lipoprotein (HDL) cholesterol

diabetes mellitus low levels of high-density lipoprotein(HDL) cholesterol

A beta-blocker, atenolol (Tenormin), is prescribed for a client with moderate hypertension. What information should the nurse include when teaching the client about this medication? (Select all that apply.) Change positions slowly 2 Take the medication before going to bed Correct 3 Count the pulse before taking the medication Correct 4 Mild weakness and fatigue are common side effects Incorrect 5 It is safe to take concurrent over-the-counter (OTC) medications

-change positions slowly -count the pulse before taking the medication -mild weakness and fatigue are common

A client who was in an automobile collision is now in hypovolemic shock. Why is it important for the nurse to take the client's vital signs frequently during the compensatory stage of shock? 1 Arteriolar constriction occurs. 2 The cardiac workload decreases. 3 Contractility of the heart decreases. 4 The parasympathetic nervous system is triggered

Arteriolar constriction occurs

A client comes to the emergency department reporting symptoms of the flu. When the health history reveals intravenous drug use and multiple sexual partners, acute retroviral syndrome is suspected, and a test for the human immunodeficiency virus (HIV) is performed. Which clinical responses are associated most commonly with this syndrome? (Select all that apply.) Malaise 2 Confusion 3 Constipation Correct 4 Swollen lymph glands Incorrect 5 Oropharyngeal candidiasis

malaise swollen lymph glands

A client develops internal bleeding after an abdominal surgery. Which signs and symptoms of hemorrhage should the nurse expect the client to exhibit? (Select all that apply.) Pallor 2 Polyuria 3 Bradypnea 4 Tachycardia 5 Hypertension

pallor tachycardia

A client with impaired peripheral pulses and signs of chronic hypoxia in a lower extremity is scheduled for a femoral angiogram. What would be appropriate for the nurse to include in the postprocedure plan of care? Elevate the foot of the bed 2 Perform urinary catheter care every 12 hours 3 Place in the high-Fowler position 4 Perform a neurovascular assessment every two hours

perform a neurovascular assessment every 2 hours

A nurse is caring for a client with a diagnosis of varicose veins. Which clinical findings can the nurse expect to identify when assessing this client? (Select all that apply.) Discolored toenails Correct 2 Reports of leg fatigue 3 Localized heat in a calf 4 Reddened areas on a leg Correct 5 Tortuous veins in the legs Correct 6 Pain in lower extremities when standing

Reports of leg fatigue Tortuous veins in the legs Pain in lower extremities when standing

The nurse provides discharge medication education to a client who has been switched from a prescription for heparin to a prescription for warfarin sodium (Coumadin). The nurse concludes that the teaching was effective when the client states, "I will: 1 Take acetaminophen (Tylenol) for my occasional headaches." 2 Spend most of the day working at my desk." 3 Ask my health care provider for antibiotics before going to the dentist." 4 Make an appointment to have a complete blood count drawn."

Take acetaminophen (Tylenol) for my occasional headaches."

Amlodipine (Norvasc) is prescribed for a client with hypertension. Which response to the medication should the nurse instruct the client to report to the health care provider?

difficulty breathing

A client has coronary artery bypass graft (CABG) surgery for the second time via a sternal incision. What should the nurse teach the client to expect when returning home? No further drainage from the incisions 2 Increased edema in the leg that provided the donor graft 3 Mild incisional pain and tenderness for three to four weeks 4 Extreme fatigue and a mild fever occurring for several weeks

increased edeama in the leg that provided the donor graft

A client arrives at the outpatient clinic with a painful leg ulcer, and the nurse performs a physical assessment. Which clinical findings in the lower extremity support a diagnosis of an arterial ulcer? (Select all that apply.) Lack of hair 2 Thickened toenails 3 Pain at the ulcer site 4 Diminished pedal pulse 5 Brown skin discoloration

lack of hair thickened toenails pain at the ulcer site diminished pedal pulse

A nurse is caring for a client with varicose veins. Which clinical manifestations should the nurse expect with this diagnosis? (Select all that apply.) Correct 1 Presence of ankle edema Correct 2 Increased muscle fatigue 3 Diminished peripheral pulses Correct 4 Report of nocturnal leg cramps Incorrect 5 Leg pain with activity that diminishes with rest

present of ankle edema increased muscle fatigue report of nocturnal leg cramps

A client has surgery to replace a prolapsed mitral valve. What should the nurse teach the client? Incorrect1 The signs and symptoms of pericarditis Correct2 The possible need for prophylactic antibiotic therapy before dental work 3 That cardiac surgery will have to be done eventually for the other valves 4 That pregnancy and childbirth are too stressful when one has this problem

the possible need for prophylactic antibiotic therapy before dental work