A nurse is providing discharge teaching for a client who has a prescription for the transdermal nitroglycerin patch. which of the following instructions
... [Show More] should the nurse include in the teaching.
A- Place the patch on an area of skin away from skin folds and joints
B- Apply the new patch to the same site as the previous patch
C- Replace the patch at the onset of angina
D- Keep the patch on 24 hr per day - A- Place the patch on an area of skin away from skin folds and joints
A nurse in an emergency room is assessing a client who has bradydysrhythmia. which of the following findings should the nurse monitor for?
A- Friction Rub
B- Confusion
C-Dry Skin
D-Hypertension - B- Confusion
A nurse is admitting a client who has a leg ulcer and a history of diabetes mellitus. the nurse should use which of the following focused assessments to help differentiate between an arterial ulcer and a venous stasis ulcer.
A- ask if the client has had a recent infection
B- Explore the clients family history of peripheral vascular disease
C- Note the presence of absence of pain at the ulcer site
D- inquire about the presence or absence of claudication - D- Inquire about the presence or absence of claudication
A nurse is providing teaching for a client who is 2 days postoperative following a heart transplant. which of the following statements should the nurse include in the teaching
A- " your level of activity intolerance will not change"
B- " you will be able to stop taking immunosuppressant's after 12 months
C- " after 6 months you will no longer need to restrict your sodium intake"
D- "You might no longer be able to feel chest pain" - D- "You might no longer be able to feel chest pain"
* Heart transplant clients usually are no longer able to feel chest pain due to the denervation of the heart*
A nurse is caring for a client who was admitted for a treatment of left-sided heart failure with intravenous loop diuretics and digitalis therapy. the client is experiencing weakness and an irregular hear rate. which of the following actions should the nurse take first?
A- obtain clients current weight
B-Determine the time of the last digoxin dose
C- Check the clients urine output
D- Review serum electrolyte Values - D- Review serum electrolyte Values
* weakness and irregular heart rate indicate that the client is at the greatest risk for electrolyte imbalance, an adverse effect of loop diuretics. the first action the nurse should take is to review the client's electrolyte values, particularly the potassium level, because the client is at risk for dysrhythmias for hypokalemia*
A nurse is assessing a client who has Left-Sided heart failure. which of the following manifestations should the nurse expect to find
A- Increased Abdominal Girth
B-Weak Peripheral Pulses
C- Dependent Edema
D- Jugular Venous Neck Distention - B- Weak Peripheral Pulses
A nurse is assessing a client who has a history of DVT and is receiving warfarin. the nurse should identify that which of the following findings indicates the mediation is effective
A- Hemoglobin 14 g/dl
B- INR 2.0
C- Minimal bruising of Extremities
D- Decreased blood pressure - B- INR 2.0
A nurse is preparing a client for coronary angiography. the nurse should report which of the following findings to the provider prior to the procedure
A- Hemoglobin 14.4 g/dl
B- History of peripheral arterial disease
C- Previous allergic reaction to shellfish
D- Urine output 200ml/4hr - C- Previous allergic reaction to shellfish
A nurse in an emergency department s caring for a client who has a blood pressure of 254/139 mm hg. the nurse recognizes that the client is in a hypertensive crisis. which of the following actions should the nurse take first.
A- tell the client to report vision changes
B- elevate the head of the clients bed
C- Start a peripheral IV
D- Initiate Seizure precautions - B- elevate the head of the client's bed
a nurse is reviewing the laboratory results of several male clients who have peripheral arterial disease. the nurse should plan to provide dietary teaching for the client who has which of the following laboratory values
A- Cholesterol 195 HDL 55 LDL 125
B-Cholesterol 185 HDL 50 LDL 120
C- Cholesterol 190 HDL 25 LDL 160
D- Cholesterol 180 HDL 70 LDL 90 - C- Cholesterol 190
HDL 25 [Show Less]