Proscholar

The nurse is assessing a 48-year-old client with a history of smoking during a routine clinic visit. The client, who exercises regularly, reports having pain in the calf during exercise that disappears at rest. Which of the following findings requires further evaluation? 1. Heart rate 57 bpm. 2. SpO2 of 94% on room air. 3. Blood pressure 134/82. 4. Ankle-brachial index of 0.65. correct answers 4 An Ankle-Brachial Index of 0.65 suggests moderate arterial vascular disease in a client who ...

What instruction should the nurse include in the discharge teaching plan of a client who had a cataract extraction today? a. sexual activities may be resumed upon return home b. light housekeeping is permitted but avoid heavy lifting c. use a metal eye shield on operative eye during the day d. administer eye ointment before applying eye drops correct answers b. light housekeeping is permitted but avoid heavy lifting A male adult comes to the urgent care clinic 5 days after being diagnosed...

patient has an allergy to bananas, what is the most appropriate action of the nurse correct answers replace all latex products pt with renal calculi due to uric acid what do you teach about diet correct answers low purine, no shell fish abdominal surgery correct answers look at the back for abdominal bleedings (hypovolemic) pt. education- GERD correct answers elevate bed on blocks sterile field correct answers watch for spills pt. with diabetes correct answers check sugar first be...

A client is admitted to the medical intensive care unit with a diagnosis of myocardial infarction. The client's history indicates the infarction occurred ten hours ago. Which laboratory test result would the nurse expect this client to exhibit? A. Elevated LDH B. Elevated serum amylase C. Elevated CK-MB D. Elevated hematocrit correct answers C. Elevated CK-MB Rationale: The cardiac isoenzyme CK-MB (C) is the one of the cardiac markers to indicate myocardial damage in the presence of M...

An ER nurse is completing an assessment on a patient that is alert but struggles to answer questions. When she attempts to talk, she slurs her speech and appears very frightened. What additional clinical manifestation does the nurse expect to find if nacy's sysmptoms have been caused by a brain attack (stroke)? A. A carotid bruit B. A hypotensive blood pressure C. hyperreflexic deep tendon relexes. D. Decreased bowel sounds correct answers A) A carotid bruit. Rationale: the carotid art...

The nurse assesses a patient with shortness of breath for evidence of long-standing hypoxemia by inspecting: A. Chest excursion B. Spinal curvatures C. The respiratory pattern D. The fingernail and its base correct answers D. The fingernail and its base Clubbing, a sign of long-standing hypoxemia, is evidenced by an increase in the angle between the base of the nail and the fingernail to 180 degrees or more, usually accompanied by an increase in the depth, bulk, and sponginess of the end o...

The nurse observes ventricular fibrillation on telemetry and, on entering the client's bathroom, finds the client unconscious on the floor. Which intervention should the nurse implement first? A. Administer an antidysrhythmic medication. B. Start cardiopulmonary resuscitation. C. Defibrillate the client at 200 J. D. Assess the client's pulse oximetry. correct answers B. Start cardiopulmonary resuscitation. Rationale: Ventricular fibrillation is a life-threatening dysrhythmia, ...

The nurse is evaluating the male clients understanding of diet teaching about DASH (Dietary Approach to Stop Hypertension) eating plan. Which behavior indicates that the client is adhering to the eating plan? correct answers Enjoys fat free yogurt as an occasional snack food. A client with carcinoma of the lung is complaining of weakness and has a serum sodium level of 117 mEq/L which nursing problem should the nurse include in this clients care plan? correct answers Fluid volume excess th...

A female client with a nasogastric tube attached to low suction states that she is nauseated. The nurse assesses that there has been no drainage through the nasogastric tube in the last 2 hours. Which action should the nurse take first? A. Irrigate the nasogastric tube with sterile normal saline. B. Reposition the client on her side. C. Advance the nasogastric tube 5 cm. D. Administer an intravenous antiemetic as prescribed. correct answers B. The priority is to determined if the tube is f...

A nurse is caring for a client with diabetes insipidus (DI). Which data warrants the most immediate intervention by the nurse? A. Serum sodium of 185 mEq/L B. Dry skin with inelastic turgor C. Apical rate of 110 beats per minute D. Polyuria and excessive thirst correct answers A. The nurse is obtaining the admission history for a client with suspected peptic ulcer disease. Which subjective data reported by the client supports the medical diagnosis? A. Frequent use of chewable and liq...