Exam 16: Perfusion

A client diagnosed with disseminated intravascular coagulation (DIC)is currently bleeding through the gastrointestinal tract.Which prescription does the nurse anticipate for this client?

A client diagnosed with cardiomyopathy asks the nurse to explain the different types of the disease.Which is inappropriate for the nurse to include in the teaching session?

The nurse has just completed the assessment of a client admitted with a gunshot wound to the femoral artery.Which is the priority nursing diagnosis for this client?

The nurse is completing an assessment on a newly admitted client.What finding would suggest that the client is experiencing a deep venous thrombosis (DVT)?

A client has a blood pressure of 142/92 mmHg.Which medical terminology is appropriate for the nurse to use when documenting this data?

The nurse identifies assessment findings for an African-American client with preeclampsia.Blood pressure is 158/100 mmHg; urinary output 50 mL/hour; lungs clear to auscultation; urine protein 1+; 1+ edema hands,feet,ankles.On the next hourly assessment,which new assessment finding would indicate worsening of the condition?

The nurse is providing postpartum care for a client who gave birth by cesarean section several hours ago.Which interventions are appropriate for this client within the first 48 hours after birth? Select all that apply.

The nurse is providing discharge teaching to a postpartum client recovering from deep venous thrombosis (DVT).Which instructions are appropriate for the nurse to include in the teaching session? Select all that apply.

The nurse is providing discharge instructions to an older adult client who is going home after having a total knee replacement.Which will the nurse include in the discharge teaching to decrease the client's risk for developing a thrombosis or pulmonary embolism? Select all that apply.

A home care nurse is applying an Unna boot on a client with a stasis ulcer.Which statement will the nurse include when providing client education regarding this therapy?

A nurse is caring for a client with venous stasis whose lower extremities have a brown pigmentation appearance.Which is this pigmentation appearance best attributed to?

The mother of a baby born with a congenital heart defect is upset,as no one else in the family has been born with this condition.To determine the cause of the defect,which question is appropriate for the nurse to ask the mother?

A client diagnosed with cardiomyopathy is being discharged to home.What client statement indicates discharge teaching has been effective?

A school-age client with a history of multiple allergies is prescribed epinephrine (EpiPen)for prevention of anaphylactic shock.The client's mother says to the nurse,"I thought shock was about heart failure." Which response by the nurse is the most appropriate?

The nurse is providing care to a female client who is diagnosed with coronary artery disease.The client states to the nurse,"I don't know how this happened." Which response by the nurse is the most appropriate?

A client with preeclampsia begins to seize.Which intervention by the nurse is most likely to protect the client and fetus from injury?

The nurse is planning care for an older adult client with chronic venous insufficiency.Which will the nurse include in the client's teaching plan?

The staff nurse educator is providing an in-service regarding the cultural and ethnic risk factors for stroke.Which statement will the nurse include in the in-service?

The nurse is planning care for a client with peripheral vascular disease (PVD)who is at risk for Impaired Skin Integrity.Which intervention is appropriate for the nurse to include in the plan of care?

A client recovering from a stroke is being discharged on warfarin sodium (Coumadin).During discharge teaching,which statement by the client would reflect an understanding of the effects of this medication?