An adult client who is hospitalized after surgery reports sudden onset of chest pain and dyspnea.
The client appears anxious, restless, and mildly cyanotic. The nurse should further assess the
client for which condition?
- pulmonary embolism
- heart failure
- tuberculosis
- bronchitis
Correct Answer: pulmonary embolism
Which information should the nurse obtain when performing an initial assessment of a client
who presents to the emergency department with a painful ankle injury? (Select all that apply.)
- quality of the pain
- signs of inflammation
- ankle range of motion
- muscle strength testing
- visible deformities of the joint
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Correct Answer: - quality of the pain
- signs of inflammation
- ankle range of motion
- visible deformities of the joint
Which description of pain is consistent with a diagnosis of rheumatoid arthritis?
- joint pain is worse in the morning and involves symmetric joints
- joint pain is better in the morning and worsens throughout the day
- joint pain is consistent throughout the day and is relieved by pain medication
- joint pain is worse during the day and involves unilateral joints
Correct Answer: joint pain is worse in the morning and involves symmetric joints
Which physical assessment finding should the nurse anticipate in a client with long-term
gastroesophagealreflux disease (GERD)?
- hoarseness
- dry mouth
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- mouth ulcers
- weight loss
Correct Answer: hoarseness
A client presents with chronic venous insufficiency. Which assessment finding should the nurse
anticipate?
- bilateral lower leg stasis dermatitis
- clubbing of fingers and toes
- intermittent claudication
- peripheral cyanosis
Correct Answer: bilateral lower leg stasis dermatitis
A client has been hospitalized with a femur fracture and is being treated with traction. Which
action by the nurse is the priority when caring for this client?
- assess neurovascular status
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- change the client's position
- inspect the traction equipment
- review pain medication orders
Correct Answer: assess neurovascular status
Which statement made by a client with chronic pancreatitis indicates that further education is
needed?
- I will cut back on smoking cigarettes daily
- I will avoid drinking caffeinated beverages
- I will rest frequently and avoid vigorous exercise
- I will eat a bland, low-fat, high-protein diet
Correct Answer: I will cut back on smoking cigarettes daily
(*avoid nicotine entirely)
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