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Level 2 RNSG 1443 Exam 2 Test Banks & Review Questions With Complete Solutions
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Level 2 RNSG 1443 Exam 2 Test Banks & Review Questions With Complete Solutions
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Level 2 RNSG 1443 Exam 2 Test Banks & ReviewQuestions With Complete Solutions
A 23-year-old patient tells the health care provider about
experiencing cold, numb fingers when running during the winter
and Raynauds phenomenon is suspected. The nurse will
anticipate teaching the patient about tests for
a. hyperglycemia.
b. hyperlipidemia.
c. autoimmune disorders.
d. coronary artery disease. Correct Answers C
Secondary Raynauds phenomenon may occur in conjunction
with autoimmune diseases such as rheumatoid arthritis. Patients
should be screened for autoimmune disorders.
Raynauds phenomenon is not associated with hyperlipidemia,
hyperglycemia, or coronary artery disease.
.
A 46-year-old is diagnosed with thromboangiitis obliterans
(Buergers disease). When the nurse is developing a discharge
teaching plan for the patient, which outcome has the highest
priority for this patient?
a. Cessation of all tobacco use
b. Control of serum lipid levels
c. Maintenance of appropriate weight
d. Demonstration of meticulous foot care Correct Answers A
,Absolute cessation of nicotine use is needed to reduce the risk
for amputation in patients with Buergers disease.
Other therapies have limited success in treatment of this disease.
.
.
A 46-year-old service-counter worker undergoes sclerotherapy
for treatment of superficial varicose veins at an outpatient
center. Which instructions should the nurse provide to the
patient before discharge?
a. Sitting at the work counter, rather than standing, is
recommended.
b. Exercise, such as walking or jogging, can cause recurrence of
varicosities.
c. Elastic compression stockings should be applied before
getting out of bed.
d. Taking an aspirin daily will help prevent clots from forming
around venous valves Correct Answers C
Elastic compression stockings are applied with the legs elevated
to reduce pressure in the lower legs.
Walking is recommended to prevent recurrent varicosities.
Sitting and standing are both risk factors for varicose veins and
venous insufficiency. An aspirin a day is not adequate to prevent
,venous thrombosis and would not be recommended for the
patient who had just had sclerotherapy.
A 50-year-old woman weighs 95 kg and has a history of tobacco
use, high blood pressure, high sodium intake, and sedentary
lifestyle. When developing an individualized care plan for her,
the nurse determines that the most important risk factors for
peripheral artery disease (PAD) that must be modified are
a. weight and diet.
b. activity level and salt intake.
c. tobacco use and high blood pressure.
d. sedentary lifestyle and exercise training. Correct Answers c.
tobacco use and high blood pressure.
A 67-year-old patient is admitted to the hospital with a diagnosis
of venous insufficiency. Which patient statement is most
supportive of the diagnosis?
a. I cant get my shoes on at the end of the day.
b. I cant seem to ever get my feet warm enough.
c. I have burning leg pains after I walk two blocks.
d. I wake up during the night because my legs hurt. Correct
Answers A
Because the edema associated with venous insufficiency
increases when the patient has been standing, shoes will feel
tighter at the end of the day.
, The other patient statements are characteristic of peripheral
artery disease (PAD).
.
A few days after experiencing a myocardial infarction (MI) and
successful percutaneous coronary intervention, the patient states,
I just had a little chest pain. As soon as I get out of here, Im
going for my vacation as planned. Which reply would be most
appropriate for the nurse to make?
a. What do you think caused your chest pain?
b. Where are you planning to go for your vacation?
c. Sometimes plans need to change after a heart attack.
d. Recovery from a heart attack takes at least a few weeks.
Correct Answers A
When the patient is experiencing denial, the nurse should assist
the patient in testing reality until the patient has progressed
beyond this step of the emotional adjustment to MI.
Asking the patient about vacation plans reinforces the patients
plan, which is not appropriate in the immediate post-MI period.
Reminding the patient in denial about the MI is likely to make
the patient angry and lead to distrust of the nursing staff.
A hospitalized patient with a history of chronic stable angina
tells the nurse that she is having chest pain. The nurse bases his
actions on the knowledge that ischemia
a. will always progress to myocardial infarction.
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