Identifying Causes of Lower Leg Pain and Swelling Quiz
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Questions and Answers

Which of the following statements about Raynaud's phenomenon is true?

  • Raynaud's phenomenon is caused by a lack of circulation in the feet.
  • Raynaud's phenomenon is a permanent condition.
  • Raynaud's phenomenon is not related to any other medical condition.
  • Raynaud's phenomenon can be secondary to systemic lupus erythematosus. (correct)

What should a nurse instruct a client with heart failure to do when going home?

  • Maintain bed rest for at least 1 week.
  • Monitor weight daily. (correct)
  • Monitor daily sodium intake.
  • Monitor blood pressure daily.

How should a nurse proceed if a client expresses concern about having open heart surgery before a cardiac catheterization procedure?

  • Withhold the medication and cancel the procedure.
  • Explain that cardiac catheterization does not involve open heart surgery, and then medicate the client.
  • Withhold the medication and notify the physician immediately. (correct)
  • Medicate the client and document his comment.

Which assessment findings indicate possible bleeding or recurring dissection in a client recovering from surgical repair of a dissecting aortic aneurysm?

<p>Blood pressure of 82/40 mm Hg and heart rate of 45 beats/minute (C)</p> Signup and view all the answers

What is the highest nursing priority in the plan of care for a client with peripheral vascular problems?

<p>Monitor skin integrity (C)</p> Signup and view all the answers

Which clinical manifestation would be most indicative of complete arterial obstruction in the lower extremities?

<p>Numbness and tingling (D)</p> Signup and view all the answers

The client is to receive digoxin 0.25 mg. Available are 0.125-mg scored tablets. How many tablets should the nurse administer?

<p>1 tablet (A)</p> Signup and view all the answers

Which of the following would pose the greatest health hazard to a client with mitral stenosis who is a prospective valve recipient?

<p>Medication therapy (B)</p> Signup and view all the answers

What should the nurse do when a client receiving dobutamine for heart failure experiences an increased heart rate and premature ventricular contractions (PVCs)?

<p>Administer PRN amiodarone to reduce PVCs (D)</p> Signup and view all the answers

What should the nurse instruct a client with bleeding gums, increased bruising, and dark stools, who has been receiving warfarin for 2 months?

<p>Notify the health care provider (HCP) about the bleeding (B)</p> Signup and view all the answers

What is the principal effect of nitroglycerin tablets given sublingually for the treatment of angina?

<p>Causing an increased myocardial oxygen demand (A)</p> Signup and view all the answers

Which intervention should the nurse implement when a client has a troponin level of 0.9 ng/mL?

<p>Administer aspirin (C)</p> Signup and view all the answers

Which nursing diagnosis is the priority for a client with chest pain, dyspnea, and an irregular heartbeat who has ventricular tachycardia and becomes unresponsive?

<p>Ineffective tissue perfusion (cardiopulmonary) related to arrhythmia (D)</p> Signup and view all the answers

What should the nurse monitor to determine the effectiveness of fluid replacement therapy in a client with hypovolemic shock?

<p>Temperature (B)</p> Signup and view all the answers

Which menu selection would best meet the needs of a client with hypertension following a low-calorie, low-fat, low-sodium diet?

<p>Baked chicken, an apple, and a slice of white bread (D)</p> Signup and view all the answers

Which of the following statements about peripheral vascular disease is correct?

<p>Peripheral vascular disease can lead to poor circulation and changes in nail bed color. (B)</p> Signup and view all the answers

Which of the following actions should the nurse take when a client with peripheral vascular disease reports pain in the extremity?

<p>Assess the client's nail bed color. (B)</p> Signup and view all the answers

Which of the following statements about heart failure is correct?

<p>Heart failure can cause confusion and weight gain. (B)</p> Signup and view all the answers

Which of the following actions should the nurse take when a client with heart failure has a blood pressure of 108/62 mm Hg and a heart rate of 88 beats per minute?

<p>Call the health care provider (HCP) and report the situation using SBAR format. (D)</p> Signup and view all the answers

Which of the following statements about a client's understanding of a disorder is correct?

<p>The client believes that the disorder is unrelated to their diagnosis of lupus. (C)</p> Signup and view all the answers

Which of the following statements about a client with a newly diagnosed cardiac dysrhythmia is correct?

<p>The nurse should prioritize monitoring the client's potassium levels. (D)</p> Signup and view all the answers

Which abnormal heart sound should the nurse stay alert for during the first week of a client's recovery from an acute myocardial infarction (MI)?

<p>Opening snap (B)</p> Signup and view all the answers

What concern may a client have three days after surgery to insert a mechanical mitral valve?

<p>Anxiety related to altered health status (D)</p> Signup and view all the answers

For which potential complication should the nurse monitor when starting a client on oral or I.V. diltiazem hydrochloride?

<p>Hypertension (C)</p> Signup and view all the answers

What is the purpose of nitroglycerine cream prescribed for a client with a skin ulcer and dry skin surrounding the ulcer?

<p>It treats pain (D)</p> Signup and view all the answers

What change should the nurse assess for when monitoring a client receiving tissue plasminogen activator (t-PA)?

<p>Seizure (A)</p> Signup and view all the answers

Which client symptom during a cardiac stress test using a treadmill will require the nurse's immediate action?

<p>Blood pressure of 156/88 mmHg (D)</p> Signup and view all the answers

What action should the nurse take first when a client reports sudden onset of chest pain and shortness of breath after pacemaker insertion?

<p>Notify the health care provider to obtain a chest X-ray (A)</p> Signup and view all the answers

Why does the nurse respond that newer medications for migraine, such as sumatriptan, are not prescribed for a client with a history of angina?

<p>These drugs are very expensive (C)</p> Signup and view all the answers

What should the nurse document when hearing an extra heart sound immediately after the second heart sound (S2) in a client with heart failure?

<p>First heart sound (S1) (C)</p> Signup and view all the answers

What should the nurse determine when assessing a client with Buerger's disease?

<p>Thickening of the intima and media of the artery (A)</p> Signup and view all the answers

Why does a family member of a client in cardiogenic shock need an intra-aortic balloon pump?

<p>This device increases how hard the heart has to work (D)</p> Signup and view all the answers

Which abnormal heart sound should the nurse stay alert for during the first week of a client's recovery from an acute myocardial infarction (MI)?

<p>Opening snap (C)</p> Signup and view all the answers

What concern may a client have three days after surgery to insert a mechanical mitral valve?

<p>Anxiety related to altered health status (A)</p> Signup and view all the answers

Which potential complication should the nurse monitor for when starting a client on oral or I.V. diltiazem hydrochloride?

<p>Hypertension (A)</p> Signup and view all the answers

What is the purpose of nitroglycerine cream prescribed for a client with a skin ulcer and dry skin surrounding the ulcer?

<p>It treats pain (C)</p> Signup and view all the answers

What change should the nurse assess for in a client receiving tissue plasminogen activator (t-PA)?

<p>Seizure (B)</p> Signup and view all the answers

Which client symptom during a cardiac stress test using a treadmill requires the nurse's immediate action?

<p>Blood pressure of 156/88 mmHg (B)</p> Signup and view all the answers

What action should the nurse take first when a client reports sudden onset of chest pain and shortness of breath after pacemaker insertion?

<p>Notify the health care provider to obtain a chest X-ray (B)</p> Signup and view all the answers

Why does the nurse respond that sumatriptan is not prescribed for a client with migraine headaches and a history of angina?

<p>These drugs are very expensive (B)</p> Signup and view all the answers

What does the nurse document when hearing an extra heart sound immediately after the second heart sound (S2) in a client with heart failure?

<p>First heart sound (S1) (D)</p> Signup and view all the answers

What should the nurse determine when assessing a client with Buerger's disease?

<p>Thickening of the intima and media of the artery (D)</p> Signup and view all the answers

What does the use of an intra-aortic balloon pump indicate to a family member of a client in cardiogenic shock?

<p>This device improves coronary artery perfusion (D)</p> Signup and view all the answers

Which abnormal heart sound should the nurse stay alert for during the first week of a client's recovery from an acute myocardial infarction (MI)?

<p>Opening snap (B)</p> Signup and view all the answers

What should the nurse instruct the client about the purpose of nitroglycerine cream prescribed for a skin ulcer with dry surrounding skin?

<p>It treats pain. (D)</p> Signup and view all the answers

What is the principal effect of nitroglycerin tablets given sublingually for the treatment of angina?

<p>Decreases the heart's need for oxygen. (C)</p> Signup and view all the answers

Why does a family member of a client in cardiogenic shock need an intra-aortic balloon pump?

<p>To increase how hard the heart has to work. (C)</p> Signup and view all the answers

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