207 Fundamentals FA Davis
Exam 2
The nurse is creating a plan of care for the reduction of the risk for clot
formation. Which interventions should be included? Select all that apply.
1. Keep the patient's hips and knees flexed while he or she is in bed.
2. Apply sequential compression devices.
3. Deliver anticoagulant medications as ordered.
4. Promote adequate hydration by encouraging oral intake.
5. Turn the patient frequently or encourage frequent position changes. - -2.
Apply sequential compression devices.
4. Promote adequate hydration by encouraging oral intake.
5. Turn the patient frequently or encourage frequent position changes.
- A healthy older adult comes to the clinic reporting fatigue when walking up
stairs and doing her normal household activities. What anticipated
physiological changes in the cardiovascular system occur with aging? Select
all that apply.
1. Peripheral vessels lose elasticity.
2. Recovery time after exercise is shorter.
3. Heart valves become more rigid.
4. The heart responds to increased oxygen demands.
5. Cardiac contractile strength is reduced. - -1. Peripheral vessels lose
elasticity.
3. Heart valves become more rigid.
5. Cardiac contractile strength is reduced.
- A client is recovering from cardiac surgery in which vein grafts were taken
from his lower leg. He informs the nurse that his leg is warm and tender in
his right calf, just below the surgical incision site. The nurse notes erythema
and swelling. What complication is suspected?
1. Dehiscence of the wound
2. Antibiotic reaction
3. Internal bleeding
4. Deep vein thrombosis
5. Infection at the incisional site - -4. Deep vein thrombosis
- The nurse is assessing a client for circulation and perfusion problems.
Which findings would indicate poor perfusion to the tissues? Select all that
apply.
Exam 2
The nurse is creating a plan of care for the reduction of the risk for clot
formation. Which interventions should be included? Select all that apply.
1. Keep the patient's hips and knees flexed while he or she is in bed.
2. Apply sequential compression devices.
3. Deliver anticoagulant medications as ordered.
4. Promote adequate hydration by encouraging oral intake.
5. Turn the patient frequently or encourage frequent position changes. - -2.
Apply sequential compression devices.
4. Promote adequate hydration by encouraging oral intake.
5. Turn the patient frequently or encourage frequent position changes.
- A healthy older adult comes to the clinic reporting fatigue when walking up
stairs and doing her normal household activities. What anticipated
physiological changes in the cardiovascular system occur with aging? Select
all that apply.
1. Peripheral vessels lose elasticity.
2. Recovery time after exercise is shorter.
3. Heart valves become more rigid.
4. The heart responds to increased oxygen demands.
5. Cardiac contractile strength is reduced. - -1. Peripheral vessels lose
elasticity.
3. Heart valves become more rigid.
5. Cardiac contractile strength is reduced.
- A client is recovering from cardiac surgery in which vein grafts were taken
from his lower leg. He informs the nurse that his leg is warm and tender in
his right calf, just below the surgical incision site. The nurse notes erythema
and swelling. What complication is suspected?
1. Dehiscence of the wound
2. Antibiotic reaction
3. Internal bleeding
4. Deep vein thrombosis
5. Infection at the incisional site - -4. Deep vein thrombosis
- The nurse is assessing a client for circulation and perfusion problems.
Which findings would indicate poor perfusion to the tissues? Select all that
apply.
