Identifying Causes of Lower Leg Pain and Swelling Quiz
47 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

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</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</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</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</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</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</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</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</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</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</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</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</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.</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.</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.</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.</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.</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.</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</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</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</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</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</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</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</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</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)</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</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</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</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</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</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</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</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</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</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</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)</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</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</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</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.</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.</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.</p> Signup and view all the answers

    More Like This

    Use Quizgecko on...
    Browser
    Browser