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

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

  • It is caused by a lack of circulation in the feet.
  • It is unrelated to the diagnosis of lupus.
  • It can cause pale and bluish hands with numbness and pain. (correct)
  • It is a permanent condition that cannot be treated.

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

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

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

  • Withhold the medication and cancel the procedure.
  • Withhold the medication and notify the physician immediately.
  • Explain that cardiac catheterization does not involve open heart surgery, and then medicate the client. (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 (B)</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 (B)</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 (C)</p> Signup and view all the answers

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

<p>The client's disorder is caused by a lack of blood flow to the hands. (C)</p> Signup and view all the answers

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

<p>The client's disorder is caused by lupus. (C)</p> Signup and view all the answers

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

<p>Calcium of 8.5 mEq/L (B)</p> Signup and view all the answers

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

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

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

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

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

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

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

<p>Inform the healthcare provider (HCP) (A)</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 (B)</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 (B)</p> Signup and view all the answers

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

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

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

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

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

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

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

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

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

<p>Vasodilation of peripheral vasculature (C)</p> Signup and view all the answers

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

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

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

<p>Chewing tobacco instead of smoking (C)</p> Signup and view all the answers

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

<p>Urine output 20 mL/hr (C)</p> Signup and view all the answers

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

<p>Inform the charge nurse and initiate the rapid response team (A)</p> Signup and view all the answers

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