Adaptive Quiz

Which instruction will the home health nurse include when teaching a client with peripheral artery disease? Select all that apply. A) "Avoid crossing your legs" B) "Inspect your feet daily" C) "Change positions slowly" D) "Do not use compression stockings" E) "Avoid green leafy vegetables in your diet"

A) "Avoid crossing your legs" B) "Inspect your feet daily" D) "Do not use compression stockings"

A client presents with bilateral leg pain and cramping in the lower extremities. The client has a history of cardiovascular disease, diabetes, and varicose veins. To guide the assessment of the pain and cramping, the nurse would include which question when completing the initial assessment? A) "Does walking for long periods of time increase your pain?" B) "Does standing without moving decrease your pain?" C) "Have you had your potassium level checked recently?" D) "Have you had any broken bones in your lower extremities?"

A) "Does walking for long periods of time increase your pain?"

Which action would help prevent venous thrombosis in a client during the perioperative period? Select all that apply. A) Administer subcutaneous heparin injections B) Give intravenous thrombolytic medications C) Assist the client to don antiembolism stockings D) Apply pneumatic compression devices to the legs E) Remind the client about the importance of bed rest

A) Administer subcutaneous heparin injections C) Assist the client to don antiembolism stockings D) Apply pneumatic compression devices to the legs

Which adverse hemodynamic effect typically occurs when a client develops tachycardia? Select all that apply. A) Decreased ventricular filling time B) Increased coronary artery filling C) Lower cardia output D) Enhanced atrial kick E) Weaker pulse quality

A) Decreased ventricular filling time C) Lower cardia output E) Weaker pulse quality

Which assessment finding would the nurse expect when a client is diagnosed with left-sided congestive heart failure? Select all that apply. A) Dyspnea B) Crackles C) Frequent cough D) Peripheral edema E) Jugular distention

A) Dyspnea B) Crackles C) Frequent cough

Which manifestation in a client with heart failure indicates digoxin toxicity? A) Nausea B) Yellow vision C) Irregular pulse D) Increased urine output E) Heart rate of 64 beats/minute

A) Nausea B) Yellow vision C) Irregular pulse

Which finding would the nurse expect when assessing a client with peripheral arterial disease? Select all that apply. A) Pallor of feet B) Warm extremities C) Ulcers on the toes D) Thick, hardened skin E) Delayed capillary refill

A) Pallor of feet C) Ulcers on the toes E) Delayed capillary refill

Which criteria indicates that a client on a cardiac monitor is in sinus rhythm? Select all that apply. A) The RR intervals are relatively consistent B) One P wave preceded each QRS complex C) The ST segment is higher that the PR interval D) Four to eight complexes occur in a 6-second strip E) The QRS duration ranges from 0.12 to 0.2 second

A) The RR intervals are relatively consistent B) One P wave preceded each QRS complex

Which information will the nurse include when explaining to a client with atrial tachycardia how the use of Valsalva maneuver may decrease the client's heart rate? A) The vagus nerve is stimulated B) The glottis closes momentarily C) Thoracic pressure decreases D) Respiratory pattern is interrupted

A) The vagus nerve is stimulated

Which statement indicates that further teaching is needed after the nurse completes teaching for a client with foot pain who has peripheral arterial disease? A) "I will wear socks" B) "I will elevate my foot" C) "I will increase fluid intake" D) "I will drink a moderate amount of alcohol"

B) "I will elevate my foot"

Which medication prescribed for a client with an acute episode of heart failure would the nurse question? A) Diuretic B) Beta blocker C) Long-acting nitrate D) Angiotensin receptor blocker

B) Beta blocker

Which explanation would the nurse include when teaching a client with heart failure about the reason for a low-sodium diet? A) Body weight control B) Decreased fluid retention C) Lowering of blood pressure D) Prevention of hypernatremia

B) Decreased fluid retention

Which assessment finding is consistent with a client diagnosis of right-sided heart failure? Select all that apply. A) Collapsed neck veins B) Distended abdomen C) Dependent edema D) Decreased appetite E) Cool extremities

B) Distended abdomen C) Dependent edema D) Decreased appetite

Which possible complication would a nurse monitor for when a client develops a venous thrombosis in the left calf? A) Embolic stroke B) Pulmonary embolism C) Myocardial infraction D) Ischemia of the left foot

B) Pulmonary embolism

Which information will the nurse include when teaching a client who has a new diagnosis of Raynaud disease? Select all that apply. A) Medications will be needed to control the symptoms B) Stop cigarette smoking and other tobacco use C) Wear gloves when getting food from the freezer D) Plan to take a daily low-dose aspirin tablet E) Avoid going quickly from a warm to a cold environment

B) Stop cigarette smoking and other tobacco use C) Wear gloves when getting food from the freezer E) Avoid going quickly from a warm to a cold environment

Which assessment finding by the nurse caring for a client with new-onset atrial fibrillation would be most important to communicate to the health care provider? A) Irregular apical pulse B) Sudden vision change C) Exertional dyspnea D) Lower extremity edema

B) Sudden vision change

The nurse is caring for a client on bed rest. Which nursing intervention would prevent a pulmonary embolus? A) Limit the client's fluid intake B) Teach the client how to exercise the legs C) Encourage use of the incentive spirometer D) Maintain elevation of the knees at an angle

B) Teach the client how to exercise the legs

A client who is scheduled for endovenous ablation of the saphenous vein asks the nurse, "How did I get varicose veins?" Which factors in the client's history will the nurse discuss? Select all that apply. A) Has body mass index (BMI) of 23 B) Works as cashier in a grocery store C) smokes 1 pack per day of cigarettes D) Swims 1 mile several times per week E) Reports family history of venous insufficiency

B) Works as cashier in a grocery store E) Reports family history of venous insufficiency

Which medication is used to treat a client whose cardiac monitor reveals several runs of ventricular tachycardia? A) Atropine B) Epinephrine C) Amiodarone D) Sodium bicarbonate

C) Amiodarone

Which term will a nurse use to document when a client with peripheral arterial disease tells the nurse about having leg pain and weakness after walking a short distance? A) Rest pain B) Raynaud phenomenon C) Intermittent claudication D) Phantom limb sensation

C) Intermittent claudication

Which action will the nurse take when the international normalized ratio (INR) for a client receiving warfarin for venous thrombosis is 4.6? A) Administer the scheduled dose of warfarin B) Offer the client foods that are high in vitamin K C) Notify the healthcare provider of the laboratory results D) Warn the client about risk for spontaneous hemorrhage

C) Notify the healthcare provider of the laboratory results

Which action would the nurse anticipate taking when a client develops third degree atrioventricular block with a heart rate of 30 beats/minute? A) Assist with rapid defibrillation B) Prepare for synchronized cardioversion C) Obtain the transcutaneous pacemaker D) Initiate cardiopulmonary resuscitation

C) Obtain the transcutaneous pacemaker

Which finding in a client with right calf venous thrombosis is most important to communicate to the healthcare provider? A) Severe right calf pain B) Right calf redness and swelling C) Oxygen saturation 89% D) Heart rate of 136 beats/minute

C) Oxygen saturation 89%

When taking the health history for a client admitted with heart failure, which assessment finding will the nurse expect the client to report? A) Losing weight over the past week B) Tingling in the upper extremities C) Using several pillows at night to sleep D) Wheezing when exposed to dust or pollen

C) Using several pillows at night to sleep

Which diagnostic test would a nurse anticipate teaching about when a client who has had abdominal surgery reports pain and swelling in the right leg? A) Right leg x-ray B) Electrolyte levels C) Venous ultrasound of pelvis and legs D) Computerized tomography of abdomen

C) Venous ultrasound of pelvis and legs

Which rhythm would the nurse document when observing the following dysrhythmia on a client's cardiac monitor? A) Atrial flutter B) Atrial fibrillation C) Ventricular fibrillation D) Ventricular tachycardia

C) Ventricular fibrillation

Which response will the nurse make to explain the discoloration when a client with venous insufficiency has questions about the brownish discoloration of the skin of the legs? A) "The arterial blood supply is inadequate" B) "There is delayed healing in the area after an injury" C) "The production of melanin in the area has increased" D) "There is leakage of red blood cells (RBCs) through the vein wall"

D) "There is leakage of red blood cells (RBCs) through the vein wall"

Which action would the nurse take when the thigh-high antiembolism stockings that have been prescribed for a client with varicose veins fit on the lower legs but are too small to fit over the thighs? A) Slightly slit the top of the stockings to relieve pressure B) Leave the antiembolism stocking off to prevent tissue damage C) Roll the top of the stockings to below the knees to limit popliteal pressure D) Ask the healthcare provider if an elastic bandage can be used in place of the stockings

D) Ask the healthcare provider if an elastic bandage can be used in place of the stockings

Which action would the nurse include in the postprocedure plan of care for a client with peripheral arterial disease who is scheduled for a femoral angiogram? A) Elevate the foot of the bed B) Place in the high-Fowler position C) Perform urinary catheter care every 12 hours D) Check pedal pulses every 15 minutes postprocedure

D) Check pedal pulses every 15 minutes postprocedure

Which finding will be most important to communicate to the health care provider when the clinic nurse is assessing a client with thromboangiitis obliterans (Buerger disease)? A) Age 41 years B) Burning leg pain C) Taking daily nifedipine D) Continued tobacco use

D) Continued tobacco use

Which action would the nurse take to prevent venous thrombus formation after abdominal surgery? A) Keep the client in a gatch bed to elevate the knees B) Have the client dangle the legs off the side of the bed C) Help the client use an incentive spirometer every hour D) Encourage the client to ambulate multiple times daily

D) Encourage the client to ambulate multiple times daily

Which action would a nurse perform first for a client with a dysrhythmia? A) Monitor oxygen saturation B) Establish intravenous access C) Administer oxygen via a nonrebreather mask D) Ensure airway-breathing-circulation (ABC)

D) Ensure airway-breathing-circulation (ABC)

Which dysrhythmia would the nurse identify on this client's electrocardiogram (ECG) strip? A) Asystole B) Atrial flutter C) Ventricular fibrillation D) Premature ventricular complexes

D) Premature ventricular complexes

Which part of the electrocardiogram (ECG) represents depolarization of the ventricles? A) P wave B) T wave C) PR interval D) QRS interval

D) QRS interval

Which dysrhythmia is this client on the telemetry unit exhibiting? A) Atrial flutter B) Atrial fibrillation C) Ventricular fibrillation D) Ventricular tachycardia

D) Ventricular tachycardia