The nurse is reinforcing dietary instructions to a client with heart failure
(HF). The nurse determines that the client understands the instructions
if the client states that which food item will be avoided? Answer- Catsup
The nurse reinforces instructions to a client at risk for thrombophlebitis
regarding measures to minimize its occurrence. Which statement by the
client indicates an understanding of this information? Answer - "I should
avoid sitting in one position for long periods of time."
The nurse is reinforcing instructions to a client with angina pectoris
about measures to reduce recurrence of chest pain. The nurse should
stress to the client the importance of taking which measure? Answer -
Avoiding exposure to either very hot or very cold weather
,The nurse monitors the laboratory data on a client at risk for coronary
artery disease. A fasting blood glucose reading of 200 mg/dL is recorded
on the chart. The nurse analyzes this result as indicative of which
finding? Answer - Elevated, signaling the presence of diabetes mellitus,
a risk factor of coronary artery disease
A client diagnosed with thrombophlebitis 1 day ago suddenly complains
of chest pain and shortness of breath, and the client is visibly anxious.
The nurse understands that a life-threatening complication of this
condition is which? Answer - Pulmonary embolism
The nurse is monitoring a client with an abdominal aortic aneurysm
(AAA). Which finding is probably unrelated to the AAA? Answer -
Hyperactive bowel sounds in the area
,The nurse is preparing to care for a client who will be arriving from the
recovery room after an above-the-knee amputation. The nurse ensures
that which priority item is available for emergency use? - Answer
Surgical tourniquet
A client is at risk for developing disseminated intravascular
coagulopathy (DIC). The nurse should become concerned with which
fibrinogen level? - Answer 90 mg/dL
A client being seen in the emergency department for complaints of
chest pain confides in the nurse about regular use of cocaine as a
recreational drug. The nurse takes which important action in delivering
holistic nursing care to this client? Answer - Teaches about the effects of
cocaine on the heart and offers referral for further help
The nurse is planning to reinforce instructions to a client with peripheral
arterial disease about measures to limit disease progression. The nurse
, should include which items on a list of suggestions to be given to the
client?
Select all that apply. - Answer -Be careful not to injure the legs or feet.
-Walk each day to increase circulation to the legs.
-Cut down on the amount of fats consumed in the diet.
The nurse is assisting in developing a plan of care for a client who will
be returning to the nursing unit following a cardiac catheterization via
the femoral approach. Which nursing intervention should be included in
the postprocedure plan of care? - Answer Encourage the client to
increase fluid intake.
An adult client just admitted to the hospital with heart failure also has a
history of diabetes mellitus. The nurse calls the health care provider to
verify a prescription for which medication that the client was taking
before admission? Answer - Chlorpropamide
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