Nursing Theory IIB Test with Complete
Solutions/ Correct-Verified Answers
A person with diabetes mellitus is considered hypertensive if their systolic reading
is consistently _______ or greater: - ANSWER 130 mm Hg
What should a nurse not teach a patient with chronic venous insufficiency to follow:
- ANSWER sit as much as possible to rest the valves in the legs.
A varicose vein is caused by: - ANSWER an incompetent venous valve.
A client being measured for crutches asks the nurse why the crutches cannot rest up
underneath the arm for extra support. The nurse's response is based on the
understnding that this could most likely result in: - ANSWER injury to the brachial plexus
nerves.
The nurse knows that the hallmark symptom of peripheral arterial disease (PAD) -
ANSWER intermittent claudication.
compartment syndrome - ANSWER pt c/o of unrelenting pain, increased swelling
noted distal to cast, reduced movement (or no movement) of digits distal to cast.
fat embolism - ANSWER confusion, agitation, oxygen saturation is dropping, heart
rate and respiratory rate are increasing above normal, petechiae on chest
, DVT (deep vein thrombosis) - ANSWER pt c/o of increasing throbbing type of pain in the
calf area (one side only). On visual inspection, you may note increase in size and
redness on the affected side, as compared to the unaffected side.
fracture blisters - ANSWER pt c/o of burning pain under the cast in 1 or more selected
areas. Cap refill, color, movement, and sensation of digits distal to cast are all within
normal limits. Temperature may be normal or be demonstrating low grade fever.
A nurse is preparing a list of cast care instructions for a client who just had a plaster cast
applied to his right forearm. - ANSWER When handling the cast within the first 24 to 72
hours, avoid using your fingertips.
Allow the wet cast 24 to 72 hours to dry.
keep the cast and extremity elevated
The cast needs to be kept clean and dry.
A significant cause of venous thrombosis is: - ANSWER Virchow's Triad - venous stasis,
endothelial damage, and hypercoagulability. All are involved in the formation of
venous thrombi (plural of thrombus)
Which of the following symptoms may occur if a patient continues to have persistent and
UNCONTROLLED hypertension? (i.e. suggestive of organ damage) - ANSWER angina
dyspnea
epistasis
Solutions/ Correct-Verified Answers
A person with diabetes mellitus is considered hypertensive if their systolic reading
is consistently _______ or greater: - ANSWER 130 mm Hg
What should a nurse not teach a patient with chronic venous insufficiency to follow:
- ANSWER sit as much as possible to rest the valves in the legs.
A varicose vein is caused by: - ANSWER an incompetent venous valve.
A client being measured for crutches asks the nurse why the crutches cannot rest up
underneath the arm for extra support. The nurse's response is based on the
understnding that this could most likely result in: - ANSWER injury to the brachial plexus
nerves.
The nurse knows that the hallmark symptom of peripheral arterial disease (PAD) -
ANSWER intermittent claudication.
compartment syndrome - ANSWER pt c/o of unrelenting pain, increased swelling
noted distal to cast, reduced movement (or no movement) of digits distal to cast.
fat embolism - ANSWER confusion, agitation, oxygen saturation is dropping, heart
rate and respiratory rate are increasing above normal, petechiae on chest
, DVT (deep vein thrombosis) - ANSWER pt c/o of increasing throbbing type of pain in the
calf area (one side only). On visual inspection, you may note increase in size and
redness on the affected side, as compared to the unaffected side.
fracture blisters - ANSWER pt c/o of burning pain under the cast in 1 or more selected
areas. Cap refill, color, movement, and sensation of digits distal to cast are all within
normal limits. Temperature may be normal or be demonstrating low grade fever.
A nurse is preparing a list of cast care instructions for a client who just had a plaster cast
applied to his right forearm. - ANSWER When handling the cast within the first 24 to 72
hours, avoid using your fingertips.
Allow the wet cast 24 to 72 hours to dry.
keep the cast and extremity elevated
The cast needs to be kept clean and dry.
A significant cause of venous thrombosis is: - ANSWER Virchow's Triad - venous stasis,
endothelial damage, and hypercoagulability. All are involved in the formation of
venous thrombi (plural of thrombus)
Which of the following symptoms may occur if a patient continues to have persistent and
UNCONTROLLED hypertension? (i.e. suggestive of organ damage) - ANSWER angina
dyspnea
epistasis
