30 notecards = 8 pages (4 cards per page)
Which client who has just arrived in the emergency department does the nurse classify as emergent and needing immediate medical evaluation?
D. A 70-year-old with a history of diabetes who has “tearing” back pain and is diaphoretic
The nurse is caring for a client who is being treated for hypertensive emergency. Which medication prescribed for the client would the nurse question?
C. Dopamine (Intropin)
Which vascular assessment by the student nurse requires intervention by the supervising nurse?
D. Simultaneously palpating the bilateral carotids
A client with peripheral arterial disease (PAD) has undergone percutaneous transluminal angioplasty (PTA) of the lower extremity. What is essential for the nurse to assess after the procedure?
C. Pedal pulses
A client is receiving unfractionated heparin (UFH) by infusion. Of which finding does the nurse notify the primary health care provider (PCP)?
B. Platelets 32,000/mm3 (32 × 109/L)
When caring for a client with an abdominal aortic aneurysm (AAA), the nurse suspects dissection of the aneurysm when the client makes which statement?
B. “I just started to feel a tearing pain in my belly.”
The nurse caring for a client who has had abdominal aortic aneurysm (AAA) repair would be most alarmed by which finding?
A. Urine output of 20 mL over 2 hours
Which symptom reported by a client who has had a total hip replacement requires emergency action?
C. Shortness of breath and chest pain
The nurse is teaching a client the precautions to take while on warfarin (Coumadin) therapy. Which statement made by the client demonstrates that teaching has been effective?
B. “Eating foods like green beans won’t interfere with my Coumadin therapy.”
The nurse is caring for a client with dark-colored toe ulcers and blood pressure (BP) of 190/100 mm Hg. Which nursing action does the nurse delegate to the LPN/LVN?
B. Administer a clonidine patch for hypertension.
The nurse in the cardiology clinic is reviewing teaching about hypertension, provided at the client’s last appointment. Which actions by the client indicate that teaching has been effective? Select all that apply.
A. Has maintained a low-sodium, no-added-salt diet
B. Has lost 3 pounds (1.4 kg) since last seen in the clinic
E. Has cut down on caffeine
A client has undergone an embolectomy for acute arterial occlusion after creation of a lower arm arteriovenous fistula for dialysis. Which finding does the nurse report to the primary health care provider (PCP) immediately?
A. Swelling and tenseness in the affected area
Which sign/symptom is essential for the nurse to report to the primary health care provider (PCP) when caring for a client with Raynaud’s phenomenon?
C. The affected extremity becomes purple and cold.
For a client with an 8-cm abdominal aortic aneurysm, which problem must be addressed immediately to prevent rupture?
B. Blood pressure (BP) 192/102 mm Hg
The nurse is teaching a young female client how to prevent venous thromboembolism specific to her hospital stay after intensive orthopedic surgery. Which statement made by the client indicates the need for further teaching?
D. “If I wear pantyhose, I won’t have to wear the stockings the hospital gives me.”
A client with hypertension is started on verapamil (Calan). What teaching does the nurse provide for this client?
D. “Avoid grapefruit juice.”
The client undergoing femoral popliteal bypass states that he is fearful he will lose the limb in the near future. Which response by the nurse is most therapeutic?
C. “Your concerns are valid; we can review some steps to limit disease progression.”
Which finding in the history of a client with an abdominal aortic aneurysm (AAA) is a risk factor for aneurysm formation?
D. Marfan syndrome
The nurse is assigned to all of these clients. Which client would be assessed first?
A. The client who had percutaneous transluminal angioplasty (PTA) of the right femoral artery 30 minutes ago
The nurse teaches a client who has had a myocardial infarction (MI) which information regarding diet?
B. Use canola oil rather than palm oil.
A client has just undergone arterial revascularization. Which statement by the client indicates a need for further teaching related to postoperative care?
A. “My leg might turn very white after the surgery.”
Which teaching point does the nurse include for a client with peripheral arterial disease (PAD)?
C. “Walk to the point of leg pain, then rest, resuming when pain stops.”
When administering furosemide (Lasix) to a client who does not like bananas or orange juice, the nurse recommends that the client try which intervention to maintain potassium levels?
B. Consume melons and baked potatoes.
A client’s medical record shows these data: Physical Assessment Findings Diagnostic Findings Provider Prescriptions Crackles at bases PTT 55 seconds Lovenox 40 mg twice daily Right leg swelling POSITIVE, D-dime rElevate right leg Right calf pain hCG negative Doppler study right leg. Which finding confirms the presence of a thromboembolism?
C. Positive D-dimer (>0.5mg/L)
The nurse suspects that a client has developed an acute arterial occlusion of the right lower extremity based on which signs/symptoms? Select all that apply.
D. Cold right foot
E. Numbness and tingling of right foot
F. Mottling of right foot and lower leg
Which are risk factors that are known to contribute to atherosclerosis-related diseases? Select all that apply.
A. Low-density lipoprotein cholesterol (LDL-C) of 160 mg/dL (4.14 mmol/L)
D. Type 2 diabetes
The professional nurse and the nursing student are caring for a group of clients with hypertension. Which problem identified by the nursing student correctly identifies the client at risk for secondary hypertension?
D. Kidney disease
While caring for a client who has received recombinant tissue plasminogen activator (t-PA) for a large deep vein thrombus, the nurse becomes most concerned when the client develops which condition?
D. Client stating that the year is 1967
The nurse is caring for a client with peripheral arterial disease (PAD). For which symptoms does the nurse assess?
A. Reproducible leg pain with exercise
All of these client assignments have been made by the charge nurse. Which assignment is questionable?
D. The LPN/LVN with 20 years of experience caring for a client with a headache whose blood pressure (BP) is 210/150 mm Hg