Identifying Causes of Lower Leg Pain and Swelling Quiz

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27 Questions

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

It can cause pale and bluish hands with numbness and pain.

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

Monitor weight daily.

How should the nurse proceed when a client about to undergo cardiac catheterization expresses concern about open heart surgery?

Explain that cardiac catheterization does not involve open heart surgery, and then medicate the client.

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

Blood pressure of 82/40 mm Hg and heart rate of 45 beats/minute

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

Monitor skin integrity

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

Numbness and tingling

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

1 tablet

Which of the following statements demonstrates an accurate understanding of the client's disorder?

The client's disorder is caused by a lack of blood flow to the hands.

Which of the following statements indicates that the client understands the need to discuss medication with their healthcare provider?

The client's disorder is caused by lupus.

Which of the following laboratory values are the priority for the nurse to monitor in a client with a newly diagnosed cardiac dysrhythmia?

Calcium of 8.5 mEq/L

Which of the following medications is typically prescribed for a client with an atrial arrhythmia?

Metoprolol

What should the nurse monitor to determine the effectiveness of metoprolol in a client with an atrial arrhythmia?

Heart rate

Which nursing diagnosis would be the priority for a client who has experienced ventricular tachycardia and becomes unresponsive?

Ineffective tissue perfusion (cardiopulmonary) related to arrhythmia

What should the nurse do first if a client who has been prescribed pentoxifylline reports chest pain after receiving the initial dose?

Inform the healthcare provider (HCP)

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)?

Opening snap

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

Anxiety related to altered health status

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

Hypertension

What is the purpose of nitroglycerine cream prescribed for a client with a skin ulcer on the forearm?

It treats pain

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

Seizure

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

Medication therapy

What is the nurse's best action when a client receiving dobutamine for heart failure experiences an increased heart rate and premature ventricular contractions?

Administer PRN amiodarone to reduce the premature ventricular contractions

What should the nurse instruct a client with deep vein thrombosis who is experiencing bleeding gums, increased bruising, and dark stools to do?

Notify the health care provider (HCP) about the bleeding

What are the principal effects of nitroglycerin tablets, 0.3 mg given sublingually, in treating a client with angina?

Vasodilation of peripheral vasculature

Which of the following symptoms is NOT associated with peripheral vascular disease?

Nausea

Which of the following lifestyle changes is NOT recommended to enhance heart health?

Chewing tobacco instead of smoking

Which of the following vital sign changes should the nurse immediately report when assessing a client with heart failure?

Urine output 20 mL/hr

Which of the following actions should the nurse take when a client with changing vital signs reports feeling short of breath?

Inform the charge nurse and initiate the rapid response team

Test your knowledge on identifying the causes of lower leg pain and swelling. Select all the symptoms that may indicate a specific condition.

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