EAQ-MedSurg-CV, Hemat, & Lymph Systems
The nurse provides discharge teaching for a client with a history of hypertension who had a femoropopliteal bypass graft. Which client statement indicates teaching is effective?
"Observe color and pulses of legs every day"
A client comes to the clinic reporting weight loss, fatigue, and a low-grade fever. Physical examination reveals a slight enlargement of the cervical lymph nodes. Which question is most appropriate for the nurse to ask initially?
"When did it first become evident to you that you had a fever?"
A nurse is caring for a client who just had major abdominal surgery. What client responses indicate the possibility of developing a superficial venous thrombosis?
-Tender area in posterior lower leg -Warmth along course of involved vessel
A client who has had a myocardial infarction experiences a noticeably decreased pulse pressure. What does this indicate to the nurse?
Decreased force of contraction
When caring for a client who has hyponatremia, the nurse would monitor for which symptom?
Decreased specific gravity
potassium level is below the expected range (Hypokalemia)
Elevated U and flattened T waves
A nurse is caring for a client with a history of hypertension and aphasia. A family member states that a complete occlusion of the branches of the middle cerebral artery resulted in the client's aphasia. What is a common cause of this type of occlusion?
Emboli associated with Afib
When assessing for hemorrhage on a client who has a total hip replacement, what is the most important nursing action to implement?
Examine bedding under the pt for drainage
A client demonstrates signs and symptoms of a transfusion reaction. The nurse immediately stops the infusion; what should the nurse's next action be?
Hang bag of NS with new tubing