Test 3 Practice Questions
A nurse is reviewing self-care measures for a client with peripheral vascular disease. Which statement indicates proper self-care measures? "I stopped smoking and use only chewing tobacco." "I like to soak my feet in the hot tub every day." "I have my wife look at the soles of my feet each day." "I walk only to the mailbox in my bare feet."
"I have my wife look at the soles of my feet each day."
What should the nurse determine the therapeutic range of the international normalized ratio (INR) should be? 2.0-3.0 7.0-8.0 4.0-5.0 5.0-6.0
2.0-3.0
A nurse is teaching a client who has a new prescription for clopidrogel (plavix). which of the following should be included in the teaching? (select all that apply) A. Avoid the consumption of grapefruit while taking this medication B. monitor for the presence of black tarry stools C. instruct the client to use an electric razor D. schedule a weekly PT test E. advise the client about food sources containing vit. K
A. Avoid the consumption of grapefruit while taking this medication B. monitor for the presence of black tarry stools
A nurse is monitoring a group of clients for increased risk of pneumonia. Which of the following clients should the nurse expect to be at risk? (Select All That Apply) A. Client who has dysphagia B. Client who has AIDS C. Client who was vaccinated for pneumococcus and influenza 6 months ago D. Client who is post-op and has received local anesthesia E. Client who has a closed head injury and is receiving ventilation F. Client who has myasthenia gravis
A. Client who has dysphagia B. Client who has AIDS E. Client who has a closed head injury and is receiving ventilation F. Client who has myasthenia gravis
A nurse is caring for a client following a thoracentesis. Which of the following manifestations should the nurse recognize as risks for complications? (Select All That Apply) A. Dyspnea B. Localized bloody drainage C. Fever D. Hypotension E. Report of pain at the puncture site
A. Dyspnea C. Fever D. Hypotension
A nurse is planning care for a client following the insertion of a chest tube and drainage system. Which of the following should be included in the plan of care? (Select all that apply) A. Encourage the client to cough every 2 hours B Check for continuous bubbling in the suction chamber C. Strip the drainage tubing every 4 hours D. Clamp the tube once a day E. Obtain a chest x ray
A. Encourage the client to cough every 2 hours B Check for continuous bubbling in the suction chamber E. Obtain a chest x ray
What should the nurse palpate when assessing for an upper respiratory tract infection? A. Neck lymph nodes B. Nasal mucosa C. Tracheal mucosa D.All of the above
A. Neck lymph nodes
A nurse preparing to care for a client following chest tube placement. Which of the following items should be available in the client's room? (Select all that apply) A. Oxygen B. Sterile water C. Enclosed hemostat clamps D. Indwelling urinary catheter E. Occlusive dressing
A. Oxygen B. Sterile water C. Enclosed hemostat clamps E. Occlusive dressing
A nurse is caring for a client who is scheduled for a thoracentesis. Which of the following supplies should the nurse ensure are in the clients room? (Select All That Apply) A. Oxygen equipment B. Incentive spirometer C. Pulse oximeter D. Sterile dressing E. Suture removal kit
A. Oxygen equipment C. Pulse oximeter D. Sterile dressing
A nurse is caring for a client who is scheduled for a thoracentesis. Prior to the procedure, which of the following actions should the nurse take? A. Position the client in an upright position, leaning over the bedside table B. Explain the procedure C. Obtain ABGs D. Administer benzocaine spray
A. Position the client in an upright position, leaning over the bedside table
A nurse is caring for a client who has severe PAD. the nurse should expect that the client will sleep most comfortably in which of the following positions? A. with the affected limb hanging from the bed B. With the affected limb elevated on pillows C. With the head of the bed raised D. In a side-lying, recumbent position
A. with the affected limb hanging from the bed
A nurse is caring for a patient who has a chest tube in place attached to water-seal drainage. Which of the following observations about the drainage should be reported if found 5 hr after insertion?
About 150 mL/hr over the past 2 hr.
Which diagnostic test is used to quantify venous reflux and calf muscle pump ejection? Air plethysmography Contrast phlebography Lymphoscintigraphy Lymphangiography
Air plethysmography
A nurse is changing a dressing on an arterial suture site. The site is red, with foul-smelling drainage. Based on these symptoms, the nurse is aware to monitor for which type of aneurysm? False Anastomotic Dissecting Saccular
Anastomotic
Which aneurysm occurs as a result of infection at arterial suture or graft sites? Saccular False Dissecting Anastomotic
Anastomotic
To assess the dorsalis pedis artery, the nurse would use the tips of three fingers and apply light pressure to the: Outside of the foot just below the heel. Inside of the ankle just above the heel. Exterior surface of the foot near the heel. Anterior surface of the foot near the ankle joint.
Anterior surface of the foot near the ankle joint.
You are assessing a client recently admitted to your unit for hypotension. While assessing this client, you find a pulsatile mass near the umbilicus. What would you suspect? Coronary artery disease Aortic aneurysm Raynaud's disease Peripheral artery disease
Aortic aneurysm
A client is being discharged home with a venous stasis ulcer on the right lower leg. Which topic will the nurse include in client teaching before discharge? Adequate carb intake Application of graduated compression stockings Methods of keeping the wound area dry Prophylactic antibiotic therapy
Application of graduated compression stockings
You are presenting a workshop at the senior citizens center about how the changes of aging predisposes clients to vascular occlusive disorders. What would you name as the most common cause of peripheral arterial problems in the older adult? Aneurysm Coronary thrombosis Atherosclerosis Raynaud's disease
Atherosclerosis
The nurse is caring for a client with Raynaud's disease. What are important instructions for a client who is diagnosed with this disease to prevent an attack? Avoid situations that contribute to ischemic episodes. Report changes in the usual pattern of chest pain. Avoid fatty foods and exercise. Take over-the-counter decongestants.
Avoid situations that contribute to ischemic episodes.
A nurse is orienting a newly licensed nurse who is caring for a client who is receiving mechanical ventilation and is on pressure support ventilation (PSV) mode. Which of the following statements by the newly licensed nurse indicates an understanding of PSV? A. "It keeps the alveoli open and prevents atelectasis." B. "It allows preset pressure delivered during spontaneous ventilation." C. "It guarantees minimal minute ventilator." D. "It delivers a preset ventilatory rate and tidal volume to the client."
B. "It allows preset pressure delivered during spontaneous ventilation."
Which patient is at highest risk for venous thromboembolism? A. 50-year-old postoperative patient B. 25-year-old patient with a central venous catheter in place to treat septicemia C. 71-year-old otherwise healthy older adult D. A pregnant 30-year-old woman due in 2 weeks
B. 25-year-old patient with a central venous catheter in place to treat septicemia
A nurse is caring for a client who has a chest tube and drainage system in place. The nurse observes that the client's chest tube was accidentally removed. Which of the following actions should the nurse take first? A. Place the tubing in sterile water to restore the water seal B. Apply sterile gauze to the insertion site C. Place tape around the insertion site D. Assess the client's respiratory status
B. Apply sterile gauze to the insertion site
A nurse is assessing a client who has a chest tube and drainage system in place. Which of the following are expected findings? (Select all that apply) A. Continuous bubbling in the water seal chamber B. Gentle constant bubbling in the suction control chamber C. Rise and fall in the level of water in the water seal chamber with inspiration D. Exposed sutures without dressing E. Drainage system upright at chest level
B. Gentle constant bubbling in the suction control chamber C. Rise and fall in the level of water in the water seal chamber with inspiration
A nurse is caring for a client who is experiencing respiratory distress. Which of the following early manifestations of hypoxemia should the nurse recognize? (Select All That Apply) A. Confusion B. Pale skin C. Bradycardia D. Hypotension E. Elevated BP
B. Pale skin E. Elevated BP
A nurse is reviewing ABG lab results of a client who is in respiratory distress. The results are pH 7.40, PaCO2 32 mmHg, HCO3 22 mmHg. The nurse should recognize that the client is experiencing which of the following acid-base imbalances? A. Respiratory acidosis B. Respiratory alkalosis C. Metabolic acidosis D. Metabolic alkalosis
B. Respiratory alkalosis
A nurse is planning care for a client who is receiving mechanical ventilation. Which of the following modes of ventilation that increases the effort of the clients respiratory muscles should the nurse include in the plan of care? (Select All That Apply) A. Assist-control B. Synchronized intermittent mandatory ventilation C. Continuous positive airway pressure D. Pressure support ventilation E. Independent lung ventilation
B. Synchronized intermittent mandatory ventilation C. Continuous positive airway pressure D. Pressure support ventilation
A nurse is caring for a client who has dyspnea and will receive O2 continuously. Which of the following O2 devices should the nurse use to deliver a precise amount of O2 to the client? A. Nonrebreather mask B. Venturi mask C. Nasal cannula D. Simple face mask
B. Venturi mask
A nurse is caring for a client who has chronic venous insufficiency. The provider prescribed thigh-high compression stockings. The nurse should instruct the client to: A. massage both legs firmly with lotion prior to applying the stockings B. apply the stockings in the morning upon awakening and before getting out of bed C. roll the stockings down to the knees if they will not stay up on the thighs D. remove the stockings while out of bed for 1 hr, four times a day to allow the legs to rest
B. apply the stockings in the morning upon awakening and before getting out of bed
A client is recovering from surgical repair of a dissecting aortic aneurysm. Which assessment findings indicate possible bleeding or recurring dissection? BP of 82/40 mm Hg and heart rate of 125 bpm Urine output of 15 ml/hour and 2+ hematuria Urine output of 150 ml/hour and heart rate of 45 bpm BP of 82/40 mm Hg and heart rate of 45 bpm
BP of 82/40 mm Hg and heart rate of 125 bpm
A client with suspected lymphoma is scheduled for lymphangiography. The nurse should inform the client that this procedure may cause which harmless temporary change? Bluish urine Purplish stools Coldness of the soles Redness of the upper part of the feet
Bluish urine
A nurse is caring for a client who has a DVT and has been taking unfractionated heparin for 1 week. Two days ago, the provider also prescribed Coumadin. the client questions the nurse about receiving both heparin and warfarin at the same time. Which of the following is an appropriate response by the nurse? A. "I will remind your provider that you are already receiving heparin." B. "Lab findings indicated that two anticoagulants were needed." C. "It takes 3-4 days before the effects of warfarin are achieved and the heparin can be discontinued" D. "Only one of these medications is being given to treat your DVT"
C. "It takes 3-4 days before the effects of warfarin are achieved and the heparin can be discontinued"
The nurse is teaching a patient diagnosed with peripheral arterial disease (PAD). What should be included in the teaching plan? A. Elevate the lower extremities B. Exercise is discouraged C. Keep the lower extremities in a neutral or dependent position D. PAD should not cause pain
C. Keep the lower extremities in a neutral or dependent position
A nurse is caring for a patient who has a tracheostomy tube in place. During tracheostomy care, which of the following should the nurse place underneath the flanges of the outer cannula?
Commercially prepared fenestrated dressing
A client is hospitalized for repair of an abdominal aortic aneurysm. The nurse must be alert for signs and symptoms of aneurysm rupture and thus looks for which of the following? Slow heart rate and high BP Constant, intense back pain and falling BP Higher than normal BP and falling hematocrit Constant, intense headache and falling BP
Constant, intense back pain and falling BP
A nurse is caring for a patient who is 6 hr postoperative and has a chest tube in place attached to a closed-chest water-seal drainage system. The nurse should observe for which of the following indications of a problem in the drainage system?
Continuous bubbling in the water-seal chamber.
Which diagnostic test involves injecting a radiopaque contrast agent into the venous system? Air plethysmography Contrast phlebography Lymphoscintigraphy Lymphangiography
Contrast phlebography
A nurse is orienting a newly licensed nurse on performing routine assessment of a client who is receiving mechanical ventilation via an endotracheal tube. Which of the following information should the nurse include in the teaching? A. Apply a vest restraint it self-extubation is attempted B. Monitor ventilator settings Q8hr C. Document tube placement in centimeters at the angle of jaw D. Assess breath sounds every 1 to 2 hours
D. Assess breath sounds every 1 to 2 hours
A nurse is assessing a client following a bronchoscopy. Which of the following findings should the nurse report to the provider? A. Blood-tinged sputum B. Dry, nonproductive cough C. Sore throat D. Bronchospasms
D. Bronchospasms
A nurse is performing a physical assessment of a client who has Chronic Peripheral arterial disease (PAD). Which of the following is an expected finding? A.Edema around the client's ankles and feet B. Ulceration around the client's medial malleoli C. Scaling eczema of the client's lower legs with stasis dermatitis D. Pallor on elevation of the client's limbs, and rubor when the limbs are dependent
D. Pallor on elevation of the client's limbs, and rubor when the limbs are dependent
A nurse is assisting a provider with the removal of a chest tube. Which of the following should the nurse instruct the client to do? A. Lie on his left side B. Use the incentive spirometer C. Cough at regular intervals D. Perform the Valsalva maneuver
D. Perform the Valsalva maneuver
A nurse is teaching a client who has a new diagnosis of severe PAD. Which of the following instructions should the nurse include? A. Wear tightly fitted insulated socks with shoes when going outside. B. Elevate both legs above the heart when resting. C. Apply a heating pad to both legs for comfort. D. Place both legs in dependent position while sleeping.
D. Place both legs in dependent position while sleeping.
Which is a characteristic of arterial insufficiency? Pulses are present but may be difficult to palpate Aching, cramping pain Superficial ulcer Diminished or absent pulses
Diminished or absent pulses
Which aneurysm occurs as a result a rupture in the intimal layer, resulting in bleeding between the intimal and medial layers of the arterial wall? Saccular False Dissecting Anastomotic
Dissecting
A patient injured in a motor-vehicle crash is transported to an emergency department. The provider determines the need for immediate thoracotomy and chest-tube insertion and anticipates the need for maximal suction pressure. The appropriate type of closed-chest drainage system for this patient is a:
Dry suction-control system
A client with venous insufficiency asks the nurse what they can do to decrease their risk of complications. What advice should the nurse provide to clients with venous insufficiency? Refrain from sexual activity for a week. Elevate the legs periodically for at least 15 to 20 minutes. Elevate the legs periodically for at least an hour. Avoid foods with iodine.
Elevate the legs periodically for at least 15 to 20 minutes.
Oxygen therapy is prescribed for a patient who is brought to an emergency department in the early stages of hypoxia. When assessing this patient, the nurse should expect to find which of the following clinical indicators?
Elevated blood pressure
Which statement is accurate regarding Reynaud disease? Episodes may be triggered by unusual sensitivity to cold. It is most common in men 16 to 40 years of age. It affects more than two digits on each hand or foot. The disease generally affects the client bilaterally.
Episodes may be triggered by unusual sensitivity to cold.
Is the following statement true or false? The primary oxygen administration method for a patient with COPD is a nasal cannula.
False
Which aneurysm occurs as a result of the mass is actually a pulsating hematoma? Saccular False Dissecting Anastomotic
False
A nurse is caring for a patient who has a tracheostomy tube with an inner cannula in place. Which of the following supplies should the nurse use to dry the inner cannula of the patient's tracheostomy tube after cleaning it?
Folded pipe cleaners
A nurse is caring for a patient who has a chest tube in place attached to a closed-chest water-seal drainage system following thoracic surgery. Which of the following strategies should the nurse use to help promote comfort for this patient?
Have the patient splint the affected side during coughing
A client is diagnosed with DVT. Which nursing diagnosis should receive highest priority at this time? Risk for injury related to edema Excess fluid volume related to peripheral vascular disease Ineffective peripheral tissue perfusion related to venous congestion Impaired gas exchange related to increased blood flow
Ineffective peripheral tissue perfusion related to venous congestion
Which of the following is the hallmark symptom for peripheral arterial disease (PAD) in the lower extremity? Acute limb ischemia Dizziness Vertigo Intermittent claudication
Intermittent claudication
A nurse is planning education for a patient who has a chest tube in place attached to a closed-chest drainage system following surgery for lung cancer. Which of the following should the nurse emphasize to the patient when he is ready to ambulate freely?
Keep the collection device upright at all times.
A nurse is completing an assessment on a client and discovers an enlarged, red, and tender lymph node. The nurse will describe and document the lymph node using which term? Lymphadenitis Elephantiasis Lymphangitis Lymphedema
Lymphadenitis
Which diagnostic test provides a way to detect lymph node involvement resulting from metastatic carcinoma, lymphoma, or infection in sites that are otherwise inaccessible to the examiner except by surgery? Air plethysmography Contrast phlebography Lymphoscintigraphy Lymphangiography
Lymphangiography
Which diagnostic test is done when a radioactively labeled colloid is injected subcutaneously in the second interdigital space? Air plethysmography Contrast phlebography Lymphoscintigraphy Lymphangiography
Lymphoscintigraphy
A nurse is preparing to transport to radiology a patient who has a chest tube and a closed-chest wet-suction drainage system. The provider allows disconnecting the drainage system from the suction source during transportation. Which of the following must the nurse do when detaching the suction source?
Make sure the air vent is open.
A patient who is prescribed oxygen therapy 24hr/day is concerned about being confined to bed. Which of the following should the nurse do to provide mobility for this patient?
Make sure the patient has up to 50 feet of connecting tubing.
A client is diagnosed with peripheral arterial disease. Review of the client's chart shows an ankle-brachial index (ABI) on the right of 0.45. This indicates that the right foot has which of the following? Very mild arterial insufficiency No arterial insufficiency Moderate to severe arterial insufficiency Tissue loss to that foot
Moderate to severe arterial insufficiency
A nurse is assessing a client's right lower leg, which is wrapped with an elastic bandage. Which signs and symptoms suggest circulatory impairment? Numbness, cool skin temperature, and pallor Redness, cool skin temperature, and swelling Swelling, warm skin temperature, and drainage Numbness, warm skin temperature, and redness
Numbness, cool skin temperature, and pallor
Administering oxygen therapy with a nonrebreather mask has which of the following advantages?
Offers the highest oxygen concentration of the low-flow systems.
A nurse is caring for a client following an arterial vascular bypass graft in the leg. What should the nurse plan to assess over the next 24 hours? BP every 2 hours Ankle-arm indices every 12 hours Color of the leg every 4 hours Peripheral pulses every 15 minutes after surgery
Peripheral pulses every 15 minutes after surgery
A client with systemic lupus erythematosus (SLE) complains that his hands become pale, blue, and painful when exposed to the cold. What disease should the nurse cite as an explanation for these signs and symptoms? Raynaud's disease Buerger's disease Peripheral vascular disease Arterial occlusive diseases
Raynaud's disease
A nurse is caring for a patient who has a cuffed endotracheal (ET) tube in place. Which of the following is an appropriate component of ET tube care for this patient?
Reposition the ET tube in the patient's mouth every 8 hours to prevent irritation of the mucous membranes
Which of the following is the most effective intervention for preventing progression of vascular disease? Wear sturdy shoes Risk factor modification Use neutral soaps Avoid trauma
Risk factor modification
Which aneurysm occurs as a result of collection of blood in the weakened out-pouching? Saccular False Dissecting Anastomotic
Saccular
A physician admits a client to the health care facility for treatment of an abdominal aortic aneurysm. When planning this client's care, which goal should the nurse keep in mind as she formulates interventions? Decreasing BP and increasing mobility Stabilizing HR and BP and easing anxiety Increasing BP and reducing mobility Increasing BP and monitoring fluid intake and output
Stabilizing HR and BP and easing anxiety
A nurse is providing discharge teaching to a patient who will continue oxygen therapy at home. The nurse should instruct the patient that turning the knob on the oxygen flow meter all the way to the right...
Stops the flow of oxygen
A nurse is assessing a patient who has a chest tube in place attached to a closed-chest water-seal drainage system. When the nurse palpates the area around the chest-tube insertion site, she is checking for?
Subcutaneous emphysema
While providing care for a patient who has a chest tube in place attached to a closed-chest drainage system, the nurse accidentally disconnects the chest tube from the system. Which of the following should the nurse do to prevent a serious complication while preparing to reconnect the system?
Submerge the end of the chest tube in 1 inch of sterile water
A nurse should recognize that which of the following is an indication for oxygen therapy?
Tachypnea; SaO2 90%
A nurse and physician are preparing to visit a hospitalized client with peripheral arterial disease. As you approach the client's room, the physician asks if the client has reported any intermittent claudication. The client has reported this symptom. The nurse explains to the physician which of the following details? The client's fingers tingle when left in one position for too long. The client can walk about 50 feet before getting pain in the right lower leg. The client's legs awaken him during the night with itching. The client experiences shortness of breath after walking about 50 feet.
The client can walk about 50 feet before getting pain in the right lower leg.
Which of the following is the most common site for a dissecting aneurysm? Lumbar area Cervical area Thoracic area Sacral area
Thoracic area
A nurse is caring for a patient who sustained trauma to his head and neck and will require long-term airway support. Which of the following devices will be required for home health care for this patient?
Tracheostomy tube
Is the following statement true or false? Acute pharyngitis of a bacterial nature is most commonly caused by group A beta-hemolytic streptococci.
True
Is the following statement true or false? An early sign of cancer of the larynx includes changes in speech, the voice may sound harsh, raspy, and lower in pitch
True
Is the following statement true or false? The patient should be encouraged to use an incentive spirometer approximately 10 breaths per hour between treatments while awake.
True
Is the following statement true or false? The primary oxygen administration method for a patient with COPD is a Venturi mask.
True
What symptoms should the nurse assess for in a client with lymphedema as a result of impaired nutrition to the tissue? Loose and wrinkled skin Cyanosis Ulcers and infection in the edematous area Evident scarring
Ulcers and infection in the edematous area
The nurse is caring for a client who is scheduled to have a vein ligation in the morning. How would you describe a vein ligation to the client? Veins are tied off and removed. Removal of the small saphenous vein. Veins are tied off and left in the leg. Removal of the great saphenous vein.
Veins are tied off and left in the leg.
A home health nurse is seeing an elderly male client for the first time. During the physical assessment of the skin on the lower legs, the nurse notes edema, brown pigmentation in the gaiter area, pedal pulses, and a few irregularly shaped ulcers around the ankles. From these findings, the nurse knows that the client has a problem with peripheral circulation. Which of the following does the nurse suspect? Neither venous nor arterial insufficiency Arterial insufficiency Trauma Venous insufficiency
Venous insufficiency
A nurse is caring for a critically ill patient with COPD who requires delivery of a precise concentration of oxygen. Which of the following types of oxygen-delivery device is indicated for this patient?
Venturi mask
A nurse is performing chest physiotherapy for a patient who needs help mobilizing and expectorating thick pulmonary secretions. To increase the turbulence of the air the patient exhales, the nurse should use which of the following techniques?
Vibration
A nurse is preparing to suction secretions from the mouth of a patient who has dysphagia. Which of the following is the appropriate suction device or method for the nurse to use?
Yankauer catheter
A nurse is instructing a client about using antiembolism stockings. Antiembolism stockings help prevent deep vein thrombosis (DVT) by: a) forcing blood into the deep venous system b) elevating the extremity to prevent pooling of blood c) providing warmth to the extremity d) encouraging ambulation to prevent pooling of blood
a) forcing blood into the deep venous system
A nurse is providing education about the prevention of arterial constriction to a client with peripheral arterial disease. Which of the following includes priority information the nurse would give to the client? a) Wear antiembolic stockings daily to assist with blood return to the heart. b) Stop smoking. c) Do not cross your legs for more than 30 minutes at a time. d) Keep your feet elevated above your heart.
b) Stop smoking
A client has been diagnosed with peripheral arterial occlusive disease. Which of the following instructions is appropriate for the nurse to give the client for promoting circulation to the extremities? a) Use a heating pad to promote warmth. b) Massage the calf muscles if pain occurs. c) Participate in a regular walking program. d) Keep the extremities elevated slightly.
c) Participate in a regular walking program.
The term for a diagnostic test that involves injection of a contrast media into the venous system through a dorsal vein in the foot is: contrast phlebography lymphoscintigraphy air plethysmography lymphangiography
contrast phlebography
A patient admitted with community-acquired pneumonia has been receiving oxygen therapy for several days. Which of the following assessment findings indicates an adverse effect of oxygen therapy?
cracks in the oral mucosa
A community health nurse teaches a group of older adults about modifiable risk factors that contribute to the development of peripheral arterial disease (PAD). The nurse knows that the teaching was effective based on which statement? a) "The older I get the higher my risk for peripheral arterial disease gets." b) "Because my family is from Italy, I have a higher risk of developing peripheral arterial disease." c) "I will need to increase the amount of green leafy vegetables I eat to lower my cholesterol levels." d) "I will need to stop smoking because the nicotine causes less blood to flow to my hands and feet."
d) "I will need to stop smoking because the nicotine causes less blood to flow to my hands and feet."
What should the nurse do to manage persistent swelling in a client with severe lymphangitis and lymphadenitis? a) Offer cold applications to promote comfort and to enhance circulation. b) Avoid elevating the area. c) Inform the physician if the client's temperature remains low. d) Teach the client how to apply a graduated compression stocking.
d) Teach the client how to apply a graduated compression stocking.
The most important reason for a nurse to encourage a client with peripheral vascular disease to initiate a walking program is that this form of exercise: reduces stress. aids in weight reduction. decreases venous congestion. increases high-density lipoprotein (HDL) level.
decreases venous congestion
A nurse is preparing to perform endotracheal (ET) tube care and plans to use tape to secure the tube. Which of the following is an appropriate preparatory action for this procedure?
have a tincture of benzoin ready to apply to the patients face
Vasodilation or vasoconstriction produced by an external cause will interfere with a nurse's accurate assessment of a client with peripheral vascular disease (PVD). Therefore, the nurse should: maintain room temperature at 78° F (25.6° C). keep the client warm. match the room temperature to the client's body temperature. keep the client uncovered.
keep the client warm
A home health nurse is instructing a patient who has just started receiving oxygen therapy via mask. The nurse should emphasize that the patient must...
reposition the elastic band frequently
A nurse is suctioning a patient's airway using in-line suctioning. When using this method, it is appropriate for the nurse to?
reuse the catheter repeatedly
A nurse is providing discharge teaching to a patient who will continue oxygen therapy at home. The nurse should instruct the patient that turning the knob on the oxygen flow meter all the way to the left...
starts the flow of oxygen
The nurse teaches the client with peripheral vascular disease (PVD) to refrain from smoking because nicotine causes: slowed heart rate. depression of the cough reflex. vasospasm. diuresis.
vasospasm
