Adult Health 3 Final questions

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The nurse is instructing a client with diverticulosis about appropriate self-care activities. Which comment(s) by the client would indicate effective teaching? Select all that apply. "I should follow a diet that is high in fiber." "I should exercise regularly." "It is important for me to drink at least 2000 mL of fluid every day." "With careful attention to my diet, my diverticulosis can be cured." "Using a cathartic laxative weekly is okay to control bowel movements."

"I should follow a diet that is high in fiber." "I should exercise regularly." "It is important for me to drink at least 2000 mL of fluid every day."

A client with a history of angina and intermittent claudication reports pain in both legs with a need to stop and rest after ambulating down the hall. Which statement by the nurse best addresses this concern? "You are experiencing pain due to inadequate removal of carbon dioxide from the tissues in the legs." "The pain is probably related to inadequately oxygenated blood getting through the arteries into the muscles of your legs." "The pain is related to atherosclerosis, which is the same problem causing your angina." "You are experiencing leg pain because of venous congestion."

"The pain is probably related to inadequately oxygenated blood getting through the arteries into the muscles of your legs."

A client with glaucoma is scheduled for a hip replacement. Which prescription would require clarification before the nurse carries it out? Administer morphine sulfate. Administer atropine sulfate. Teach deep-breathing exercises. Teach leg lifts and muscle-setting exercises.

Administer atropine sulfate.

A nurse is preparing a client for cardiac catheterization. The nurse must provide which nursing intervention immediately when the client returns to their room after the procedure? Apply ice to the puncture site for 12 hours post procedure. Administer the prescribed analgesia. Assess the puncture site frequently for hematoma formation or bleeding. Force fluids for 6 hours after the procedure.

Assess the puncture site frequently for hematoma formation or bleeding.

What should the nurse include in the teaching plan for a client with peripheral arterial disease (PAD) to promote vasodilation? Select all that apply. Substitute e-cigarettes for smoking or chewing tobacco. Avoid exposure to cold temperatures. Participate in relaxation training or yoga. Apply a heating pad to the abdomen. Use hot water bottles to warm the extremities.

Avoid exposure to cold temperatures. Participate in relaxation training or yoga. Apply a heating pad to the abdomen.

The health care provider has prescribed sodium chloride for a hospitalized 51-year-old client in metabolic alkalosis. Which nursing actions are required to manage this client? Select all that apply.

Compare ABG findings with previous results. Maintain intake and output records. Document presenting signs and symptoms.

A nurse assessing a client who underwent cardiac catheterization finds the client lying flat on the bed. The client's temperature is 99.8° F (37.7° C). Their blood pressure is 104/68 mm Hg. Their pulse rate is 76 beats/minute. The nurse assesses the limb and detects weak pulses in the leg distal to the puncture site. Skin on the leg is cool to the touch. The puncture site is dry, but swollen. What is the most appropriate action for the nurse to take? Slow the I.V. fluid to prevent any more swelling at the puncture site. Document the findings and recheck the client in 1 hour. Encourage the client to perform isometric leg exercise to improve circulation in the legs. Contact the health care provider and report the findings.

Contact the health care provider and report the findings.

The client has been prescribed lisinopril to treat hypertension. The nurse should assess the client for which electrolyte imbalance?

Hyerkalemia

A client with chronic obstructive pulmonary disease (COPD) and cor pulmonale had been prescribed a loop diuretic to treat peripheral edema. The nurse should monitor the client closely for what side effect of loop diuretic therapy that could worsen the client's hypercapnia?

Hypokalemia

To promote early and efficient ambulation for a client after an above-the-knee amputation, the nurse is aware that the leg will need to be positioned in which way? a.extended and abducted b.in functional alignment c.slightly raised when moving the stump d. in a flexed position

In function alignment

Which intervention is most appropriate for a client with an arterial blood gas (ABG) of pH 7.5, a partial pressure of arterial carbon dioxide (PaCO2) of 26 mm Hg, oxygen (O2) saturation of 96%, bicarbonate (HCO3-) of 24 mEq/L, and a PaO2 of 94 mm Hg

Instruct the client to breathe into a paper bag.

A client with Meniere's disease is having an attack of vertigo. Which nursing intervention is the priority? Assist the client to the restroom every hour. Use pillows to support the client's head. Remind the client to ask for assistance when turning. Instruct the client to remain in bed.

Instruct the client to remain in bed.

A client experiences orthostatic hypotension while receiving furosemide to treat hypertension. Which action should the nurse take? Instruct the client to sit for several minutes before standing. Recommend an increase in dietary sodium intake. Encourage client to increase the intake of oral fluids. Request a prescription for intravenous fluids.

Instruct the client to sit for several minutes before standing.

A client is in a metabolic acidosis from severe diarrhea. What assessment finding would be most concerning?

Irregular heart rate

A client hospitalized for treatment of a pulmonary embolism develops respiratory alkalosis. Which clinical findings commonly accompany respiratory alkalosis?

Ligh-headedness and paresethia

The nurse is planning a presentation on the topic of osteoporosis to a group of middle-age clients. Which information should the nurse include in the presentation? a.Loss of height is an early symptom of the disease. b. An early symptom of osteoporosis is the dowager's hump. c. Conventional radiographs are usually used to confirm the disease. d. Females of African and Latinx origin are at greater risk.

Loss of height is an early symptom of the disease.

The nurse is caring for a client with multiple organ failure who is in metabolic acidosis. Which pair of organs is responsible for regulatory processes and compensation?

Lungs and kidneys

A nurse is providing dietary instructions to a client with a history of pancreatitis. Which instructions would be most appropriate? Maintain a high-fat, low-carbohydrate diet. Maintain a high-carbohydrate, low-fat diet. Maintain a low-carbohydrate, low-fat diet. Maintain a high-fat, high-carbohydrate diet.

Maintain a high-carbohydrate, low-fat diet.

A client has the following arterial blood gas (ABG) values: pH, 7.12; partial pressure of arterial carbon dioxide (PaCO2), 40 mm Hg; and bicarbonate (HCO3-), 15 mEq/L. These ABG values suggest which disorder?

Metabolic acidosis

A client has been diagnosed with an intestinal obstruction and has a nasogastric tube set to low continuous suction. Which acid-base disturbance is this client at risk for developing?

Metabolic alkalosis

A client presents to the emergency department, reporting that they have been vomiting every 30 to 40 minutes for the past 8 hours. Frequent vomiting puts this client at risk for which imbalances?

Metabolic alkalosis and hypokalemia

The nurse is preparing the client with heart failure to go home. Which instruction should the nurse give to the client? Maintain bed rest for at least 1 week. Monitor weight daily. Monitor urine output daily. Monitor daily potassium intake.

Monitor weight daily.

The nurse should closely monitor the client with an open fracture for which complication? a.fat embolism syndrome b. compartment syndrome c. avascular necrosis d. osteomyelitis

Osteomyelitits

client is diagnosed with osteoporosis. Which statements would the nurse include when teaching the client about the disease? Select all that apply. a.Daily medication is needed to cure the disease. b. Osteoporosis is common in females after menopause. c. Limit weight bearing and repetitive exercises d. Osteoporosis is a degenerative disease characterized by a decrease in bone density. e. Osteoporosis can cause pain and injury. f. Passive ROM exercises can promote bone growth.

Osteoporosis is common in females after menopause. Osteoporosis is a degenerative disease characterized by a decrease in bone density. Osteoporosis can cause pain and injury.

A client with acute appendicitis develops a fever, tachycardia, and hypotension. Based on these findings, the nurse should further assess the client for which complication? bowel ischemia deficient fluid volume intestinal obstruction Peritonitis

Peritonitis

The nurse is admitting a client with acute appendicitis to the emergency department. The client has abdominal pain of 10 on a pain scale of 1 to 10. The client will be going to surgery as soon as possible. What should the nurse do next? Maintain the client in a recumbent position. Contact the surgeon to request a prescription for an opioid for the pain. Place the client on nothing-by-mouth (NPO) status. Apply heat to the abdomen in the area of the pain.

Place the client on nothing-by-mouth (NPO) status.

The nurse is planning care with a client who has undergone surgery for retinal detachment. Which goal is a priority? Cleanse the eye with soap and water. Control pain. Prevent an increase in intraocular pressure. Maintain a darkened environment.

Prevent an increase in intraocular pressure.

The nurse is positioning a client who has had a total hip replacement. Which is the intended outcome of using an abduction pillow (or splint)? a. Increase peripheral circulation. b. Prevent hip flexion. c. Prevent dislocation of the prosthesis. d.Decrease formation of sacral pressure injuries.

Prevent dislocation of the prosthesis.

​​Which nursing goal should take priority when planning for the client's physical mobility immediately after amputation? a. preventing contractures b. preventing phantom-limb pain c.preventing edema d.promoting comfort

Preventing contractures

The nurse is instructing a client about postoperative care following cataract removal. What position should the nurse teach the client to use? Place the head in a dependent position. Remain in a semi-Fowler position. Lie on the operative side. Position the feet higher than the body.

Remain in a semi-Fowler position.

The client has had hypertension for 20 years. The nurse should assess the client for? Renal insufficiency and failure. Endocarditis. Valvular heart disease. Peptic ulcer disease.

Renal insufficiency and failure.

As status asthmaticus worsens, the nurse would expect which acid-base imbalance?

Respiratory acidosis

The nurse includes developing a teaching plan for the client newly diagnosed with chronic obstructive pulmonary disease (COPD). Which information should be included in the plan? Select all that apply Pneumococcal vaccination is contraindicated for clients with lung disease. Smoking cessation is important to slow or stop disease progression. A bronchodilator with a metered-dose inhaler should be readily available. Pulmonary rehabilitation programs offer very little benefit. High humidity increases the effort of breathing.

Smoking cessation is important to slow or stop disease progression. A bronchodilator with a metered-dose inhaler should be readily available. High humidity increases the effort of breathing.

A client who has been diagnosed with osteoarthritis asks if deformities will eventually appear in the hands and fingers as the condition progresses. Which concept should the nurse include in the response? a.Some osteoarthritis sufferers develop hard swellings visible on the joints of the fingers. b.Hand and finger deformities are associated only with rheumatoid arthritis. c.The client should discuss this concern with the health care provider. d.It's impossible to determine at the time of diagnosis how the disease will progress.

Some osteoarthritis sufferers develop hard swellings visible on the joints of the fingers.

A nurse reviews the arterial blood gas (ABG) values of a client who reports difficulty breathing: pH, 7.51; PaCO2, 28 mm Hg; PaO2, 70 mm Hg; and HCO3, 24 mEq/L. What assessment finding would the nurse anticipate based on these blood gases?

Tachypnea

The nurse is administering an intravenous (IV) potassium chloride supplement to a client who has heart failure. Which information should the nurse consider when developing a plan of care for this client?

The administration of IV potassium chloride should not exceed 10 mEq per hour (10 mmol per hour) or a concentration of 40 mEq/L (40 mmol/L).

A nurse is assigned a client with an acute exacerbation of rheumatoid arthritis (RA). Which medical facts about RA are essential in developing a plan of care? Select all that apply a. Inflamed cartilage triggers complement activation, which stimulates the release of additional inflammatory mediators. b. Onset is acute and usually occurs between ages 20 and 40. c. Erythrocyte sedimentation rate (ESR) is elevated, and x-rays show erosions and decalcification of involved joints. d. The client experiences stiff, swollen joints bilaterally. e. The client may not exercise once the disease is diagnosed. f. The first-line treatment is gold salts and methotrexate.

The client experiences stiff, swollen joints bilaterally. Erythrocyte sedimentation rate (ESR) is elevated, and x-rays show erosions and decalcification of involved joints. Inflamed cartilage triggers complement activation, which stimulates the release of additional inflammatory mediators.

A client has returned from the cardiac catheterization laboratory after a balloon valvuloplasty for mitral stenosis. Which finding requires immediate nursing action There is a low, grade 1 intensity mitral regurgitation murmur. The oxygen saturation (SpO2) is 94% on 2 L of oxygen via nasal cannula. The client has become more somnolent. The urine output decreased from 60 mL per hour to 40 mL over the last hour.

The client has become more somnolent.

A client has the following arterial blood gas values: pH 7.52, partial pressure of arterial oxygen (PaO2) 50 mm Hg (6.7 kPa), partial pressure of carbon dioxide (PaCO2) 28 mm Hg (3.72 kPa), HCO3− 24 mEq/L (24 mmol/L) Based upon the client's PaO2, which nursing clinical judgment should the nurse make?

The client is severely hypoxic.

The nurse is planning care for a client who had an abdominal aortic aneurysm repair 3 days ago. The nurse is reviewing the progress notes shown. Two units of packed red blood cells (PRBCs) have been prescribed for transfusion. What should the nurse do first? Increase the drip rate of intravenous (IV) fluids. Administer furosemide. Initiate a dopamine drip. Transfuse PRBCs.

Transfuse PRBCs.

The nurse is teaching a client with adult macular degeneration (AMD) about safety precautions. Which information should the nurse include in the teaching plan? Turn the head from side to side when walking. Lie in bed with the unaffected side toward the door. Place personal items on the sighted side. Wear a patch over one eye.

Turn the head from side to side when walking.

Which laboratory study is most relevant to treating a client who has sustained a pelvic fracture? A. serum ethanol b. urine myoglobin c.type and crossmatch d.urinalysis

Type and crossmatch

Which instruction(s) should the nurse give to a client with peripheral arterial occlusive disease? Select all that apply. Wear extra socks in the winter. Warm the fingers or toes by using an electric heating pad. Wear clean, loose, soft cotton socks. Limit walking to one block at a time. Avoid sunburn during the summer.

Wear extra socks in the winter. Wear clean, loose, soft cotton socks. Avoid sunburn during the summer.

A client is at risk for excess fluid volume. Which nursing intervention ensures the most accurate monitoring of the client's fluid status?

Weighing the client daily at the same time

A client with heart failure must be monitored closely after starting diuretic therapy. The best indicator for the nurse to monitor is

Weight

How would you line pt up: A new valve, cardiomyopathy, new stent placement, mitral valve replacement which one is most concerning? great risk for endocarditis?

Which one is most concerning? cardiomyopathy Greatest risk for endocarditis? Mitral valve replacement

The health care provider has prescribed captopril, furosemide, and metoprolol for a 78-year-old client with systolic heart failure. The client's blood pressure is 136/82 mm Hg, and the heart rate is 65 bpm. Prior to medication administration at 0900, the nurse reviews the following lab tests (see chart). What should the nurse do first? Administer the medications. Withhold the captopril. Call the health care provider (HCP). Question the metoprolol dose.

Withhold the captopril.

The most common site of aneurysm formation is in the abdominal aorta, just below the renal arteries. descending aorta, beyond the subclavian arteries. ascending aorta, around the aortic arch. aortic arch, around the ascending and descending aorta.

abdominal aorta, just below the renal arteries.

The nurse is assessing the breath sounds of a client with emphysema and hears crackles. What does this finding indicate? normal sounds produced by increased airflow out of the lungs normal sounds caused by the elevation of the diaphragm abnormal sounds because of constricted airspaces in the lungs abnormal sounds due to destruction of alveolar walls

abnormal sounds due to destruction of alveolar walls

A client with left-sided heart failure reports of increasing shortness of breath and is agitated and coughing up pink-tinged, foamy sputum. The nurse should recognize these findings as signs and symptoms of right-sided heart failure. pneumonia. acute pulmonary edema. cardiogenic shock.

acute pulmonary edema.

The nurse is caring for a client diagnosed with chronic obstructive pulmonary disease (COPD) and experiencing respiratory acidosis. The decrease in pH exists because the client's lungs:

are unable to blow off carbon dioxide.

client who is quadriplegic suddenly becomes flushed and diaphoretic above the level of the spinal injury. What is the nurse's initial response? assessing for signs or symptoms of infection assessing blood pressure for hypertension assessing blood pressure for hypotensive crisis assessing for signs and symptoms of hyperthermia

assessing blood pressure for hypertension

The nurse is assessing a client with chronic bronchitis. For which finding should the nurse suspect that the client is developing right-sided heart failure? clubbing of the fingernails on both hands bilateral edema of the feet and ankles bilateral crackles that clear with coughing dyspnea on exertion

bilateral crackles that clear with coughing

A client is admitted to the health care facility with a diagnosis of a bleeding gastric ulcer. What stool appearance will the nurse document as consistent with a gastric ulcer? black and tarry bright red coffee ground-like Clay-colored

black and tarry

The nurse is assessing a client who has had an internal fixation and hip pinning. Which nursing measure will likely decrease the risk for a surgical wound infection in this client? a.monitoring the incision for signs of redness, swelling, and warmth b.accurately measuring drainage from the surgical drainage tube c.changing the surgical dressings using sterile technique d.inserting an indwelling urinary catheter to prevent possible soiling of the dressing

changing the surgical dressings using sterile technique

A client with hypertrophic cardiomyopathy (HCM) is experiencing dyspnea, chest pain, syncope, fatigue, and palpitations and has an apical systolic thrill and heave, fourth heart sound (S4), and systolic murmur. Which nursing diagnosis should the nurse use to guide this client's care? risk for activity intolerance risk for deficient fluid volume ineffective peripheral tissue perfusion decreased cardiac output

decreased cardiac output

The nurse is developing a discharge plan with a client with chronic obstructive pulmonary disease (COPD). What information should the nurse include in the plan? People with COPD: usually maintain their current status. require less supplemental oxygen. develop respiratory infections easily. show permanent improvement.

develop respiratory infections easily.

The nurse is auscultating the lung sounds of a client with long-standing emphysema. Which lung sounds are expected for this client? stridor diminished breath sounds pleural friction rub fine crackles

diminished breath sounds

A nurse is caring for a client who underwent a subtotal gastrectomy. To manage dumping syndrome, the nurse should advise the client to restrict fluid intake to 1 qt (1,000 ml)/day. drink liquids only with meals. not drink liquids 2 hours before meals. drink liquids only between meals

drink liquids only between meals

When assessing a client diagnosed with macular degeneration, the nurse would expect to see which finding? elevated intraocular pressure halos around lights drusen on retina corneal edema

drusen on retina

The nurse is caring for a client with an acute exacerbation of advanced chronic obstructive pulmonary disease (COPD). Which assessment findings does the nurse expect? prolonged inspiratory phase and peripheral edema rhinitis, frequent coughing, and low oxygen saturation dyspnea, wheezing on auscultation, and polycythemia crackles on auscultation and increased blood pressure

dyspnea, wheezing on auscultation, and polycythemia

A client diagnosed with rheumatoid arthritis reports that pain and stiffness are worse when arising in the morning. What interventions can the nurse suggest to assist the client in decreasing the pain? Select all that apply. a. hot bath to alleviate stiffness b. energy conservation techniques c. adaptive equipment d. around the clock opioids for pain e. splint the joints in the same position

energy conservation techniques adaptive equipment hot bath to alleviate stiffness

The nurse is assessing a client with multiple sclerosis for potential complications of the disease. Which symptom(s) would indicate the development of a complication? Select all that apply. dehydration falls seizures skin breakdown Fatigue

falls skin breakdown Fatigue

Which signs and symptoms accompany a diagnosis of pericarditis? lethargy, anorexia, and heart failure low urine output secondary to left ventricular dysfunction pitting edema, chest discomfort, and nonspecific ST-segment elevation fever, chest discomfort, and elevated erythrocyte sedimentation rate (ESR)

fever, chest discomfort, and elevated erythrocyte sedimentation rate (ESR)

The nurse is assessing a client with retinal detachment. What should the nurse assess the client for? flashing lights and visual field loss sudden, severe eye pain and colored halos around lights a tearing sensation and increased lacrimation inability to move the eye and loss of light accommodation

flashing lights and visual field loss

Atropine sulfate is contraindicated as a preoperative medication for which client? A client with: diabetes. pyelonephritis. glaucoma. chronic obstructive pulmonary disease (COPD).

glaucoma.

The nurse is assessing a client for movement after halo traction placement for a C8 fracture. What should the nurse do to test the client's ability to move?Ask the client to: grasp the nurse's hands with both hands and squeeze. shrug their shoulders against downward resistance. pull their arm up from a resting position against resistance. straighten their arm from a flexed position against resistance.

grasp the nurse's hands with both hands and squeeze.

A client has returned from a cardiac catheterization. Which finding should the nurse report immediately? blood pressure 120/79 mm Hg respirations 20 breaths per minute client reporting sore dressing area heart rate 130 beats per minute

heart rate 130 beats per minute

The nurse is instructing the client with ulcerative colitis about the best diet to maintain nutrition for tissue healing while avoiding foods that will exacerbate ulceration. Which diet would be most appropriate? high-protein, low-residue low-sodium, high-carbohydrate low-fat, high-fiber high-calorie, low-protein

high-protein, low-residue

The nurse is assessing a client with chronic obstructive pulmonary disease (COPD). Which finding requires immediate intervention? inability to speak distant heart sounds diminished lung sounds pursed lip breathing

inability to speak

Which nursing diagnosis takes the highest priority for a client with parkinsonian crisis? imbalanced nutrition: less than body requirements impaired urinary elimination ineffective airway clearance risk for injury

ineffective airway clearance

A nurse is administering moderate sedation to a client with chronic obstructive pulmonary disease (COPD). The nurse's next action is based on the principle that: Encouraging the client to void before the medication takes effect will promote safety. this client may need intubation. it may be necessary to raise the head of this client's bed. a quiet environment should be provided.

it may be necessary to raise the head of this client's bed.

When obtaining the health history from a client with retinal detachment, a nurse expects the client to report: a recent driving accident while changing lanes. light flashes and floaters in front of the eye. headaches, nausea, and redness of th

light flashes and floaters in front of the eye.

The nurse is assessing a client with macular degeneration. The nurse should determine if the client is experiencing which symptom? loss of peripheral vision loss of central vision blurring of vision total blindness

loss of central vision

When planning care for a client with a small-bowel obstruction, which should the nurse consider to be the primary goal? reporting pain relief ambulating 4 times per day maintaining fluid balance

maintaining fluid balance

The nurse should assess the client with severe diarrhea for which acid-base imbalance?

metabolic acidosis

The nurse is assessing a client with multiple sclerosis. Which is an expected health problem: mood disorders psychosomatic illnesses drug dependency thought disorders

mood disorders

A nurse assesses a client with suspected bacterial meningitis. Which documented finding of meningeal irritation suggests this diagnosis? Select all that apply generalized seizures nuchal rigidity positive Brudzinski's sign positive Kernig's sign Babinski's reflex Photophobi

nuchal rigidity positive Brudzinski's sign positive Kernig's sign Photophobia

A client is placed on hypocalcemia precautions after removal of the parathyroid gland for cancer. The nurse should observe the client for which symptoms? Select all that apply.

numbness tingling muscle twitching and spasms

The nurse is caring for a client with a T-5 spinal cord injury. The client is on bed rest and has an indwelling urinary catheter. The client has a pounding headache, profuse diaphoresis, and nausea. Which nursing action is the priority? checking the patency of the indwelling urinary catheter assessing for a fecal mass removing any stimulus to the skin placing the client upright in a sitting position

placing the client upright in a sitting position

A health care provider has scheduled a client with mitral stenosis for mitral valve replacement. Which condition may arise as a complication of mitral stenosis? left-sided heart failure myocardial ischemia left ventricular hypertrophy pulmonary hypertension

pulmonary hypertension

The nurse is assessing a client who has returned to the cardiac step-down unit following a cardiac catheterization. Which information about the client should the nurse obtain first? lab value results neurologic status skin warmth and turgor puncture site appearance

puncture site appearance

Which goal is most important for a client with acute pancreatitis? The client: limits alcohol intake to two to three drinks per week. regains a normal pattern for bowel movements. maintains normal liver function. reports minimal abdominal pain.

reports minimal abdominal pain.

A nurse is caring for a client admitted with a diagnosis of exacerbation of myasthenia gravis. Upon assessment of the client, the nurse notes the client has severely depressed respirations. The nurse would expect to identify which acid-base disturbance?

respiratory acidosis

A client with a longstanding diagnosis of generalized anxiety disorder presents to the emergency room. The triage nurse notes upon assessment that the client is hyperventilating. The triage nurse is aware that hyperventilation is the most common cause of:

respiratory alkalosis

A client with a diagnosis of respiratory acidosis is experiencing renal compensation. What function does the kidney perform to assist in restoring acid-base balance?

returning bicarbonate to the body's circulation

Which activity should the nurse encourage the client with a peptic ulcer to avoid? taking acetaminophen eating chocolate chewing gum smoking cigarettes

smoking cigarettes

The nurse is caring for an older adult who has hip pain related to rheumatoid arthritis. The client is practicing appropriate self-care activities when the client chooses to sit in which type of chair? a.curved-back rocking chair b. recliner chair with arms to support wrists and hands c. couch with soft cushions to support thighs d.straight-back chair with elevated seat

straight-back chair with elevated seat

On a routine visit to the health care provider, a client with chronic arterial occlusive disease reports quitting smoking after 34 years. To relieve symptoms of intermittent claudication, a condition associated with chronic arterial occlusive disease, which additional measure should the nurse recommend? reducing daily fat intake to less than 45% of total calories taking daily walks engaging in anaerobic exercise abstaining from foods that increase levels of high-density lipoproteins (HDLs)

taking daily walks

A client comes to the emergency department reporting visual changes and a severe headache. The nurse measures the client's blood pressure at 210/120 mm Hg. However, the client denies having hypertension or any other disorder. After diagnosing malignant hypertension, a life-threatening disorder, the health care provider initiates emergency intervention. What is the most common cause of malignant hypertension? pheochromocytoma untreated hypertension dissecting aortic aneurysm Pyelonephritis

untreated hypertension

A nurse is assessing a client diagnosed with multiple sclerosis (MS). Which symptom does the nurse expect to find? absent deep tendon reflexes vision changes tremors at rest flaccid muscles

vision changes

The nurse is planning care for a client with multiple sclerosis. Which problems should the nurse expect the client to experience? Select all that apply. visual disturbances balance problems mood disorders immunity compromise coagulation abnormalities

visual disturbances balance problems mood disorders

A client of African descent is admitted to the hospital after sustaining a hip fracture. The client is 5 feet, 4 inches (163 cm) tall and weighs 96 lb (44 kg). The client has five children and reports that they "just stepped forward and fell." The results of the client's bone density tests indicate they have osteoporosis. What is a risk factor for osteoporosis for this client? a.weight b.parity c.balance d.race

weight

A client with aortic stenosis tells the nurse, "I have been feeling so tired lately that I take a nap in my recliner every afternoon." On assessment, the nurse notes apical heart sounds 2 cm left of the midclavicular line, crackles in lower lung fields during respiration, blood pressure 110/90 mm Hg, and weight gain of 2.5 kg (5.5 lb) in 24 hours. Which assessment requires further action? apical heart sounds 2 cm to the left of midclavicular line weight gain of 2.5 kg (5.5 lb) in 24 hours blood pressure 110/90 mm Hg crackles in lower lung fields during inspiration

weight gain of 2.5 kg (5.5 lb) in 24 hours


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