COMPLETE SOLUTIONS
A 65-year-old man with emphysema and bronchitis has come to
the clinic for a follow-up appointment. On assessment, the nurse
might expect to see which finding?
a. Anasarca
b. Scleroderma
c. Pedal erythema
d. Clubbing of the nails
d. Clubbing of the nails
A patient has hard, nonpitting edema of the left lower leg and
ankle. The right leg has no edema. Based on these findings, the
nurse recalls that:
wuritpcom
a. Nonpitting, hard edema occurs with lymphatic obstruction.
b. Alterations in arterial function will cause edema.
c. Phlebitis of a superficial vein will cause bilateral edema.
d. Long-standing arterial obstruction will cause pitting edema
Nonpitting, hard edema occurs with lymphatic obstruction.
A patient complains of leg pain that wakes him at night. He
states that he has been having problems with his legs. He has
pain in his legs when they are elevated that disappears when he
dangles them. He recently noticed a sore on the inner aspect of
the right ankle. On the basis of this health history information,
the nurse interprets that the patient is most likely experiencing:
a. Pain related to lymphatic abnormalities.
b. Problems related to arterial insufficiency.
,c Problems related to venous insufficiency.
d. Pain related to musculoskeletal abnormalities.
Problems related to arterial insufficiency.
A 67-year-old patient states that he recently began to have pain
in his left calf when climbing the 10 stairs to his apartment. This
pain is relieved by sitting for approximately 2 minutes; then he
is able to resume his activities. The nurse interprets that this
patient is most likely experiencing:
a Claudication.
b. Sore muscles.
c. Muscle cramps.
d. Venous insufficiency.
Claudication.
The nurse is preparing an injection of 0.45 mL of medication for
a pediatric patient. Which syringe is most appropriate?
Tuberculin syringe
The nurse is preparing to administer an intramuscular (IM)
injection to a 6-month-old infant. Which injection site is themost
appropriate for this patient?
Deltoid muscle
,Dorsogluteal injection site
Vastus lateralis
Abdomen 2 inches away from theumbilicus
Vastus lateralis
The nurse is administering a parenteral medication to thepatient.
Which action by thenurse demonstrates proper technique?
Using strict aseptic technique
The nurse is preparing a medication that comes in an ampule.
Which action by thenurse is appropriate?
a. Tapping theampule so fluid moves from thebottom of
theampule to theneck
Avoiding inversion of theampule after opening to prevent
spillage of themedication
Using a filter needle long enough to reach thebottom of
theampule
Guiding theneedle against therim of theampule to access
themedication
Using a filter needle long enough to reach thebottom of
theampule
The nurse is teaching a patient how to mix 5 units of regular
insulin and 15 units of NPH insulin in thesame syringe. thenurse
determines that further instruction is needed if thepatient does
, which of thefollowing?
Injects 5 units of air into theregular insulin vial first and
withdraws 5 units of
regular insulin.
Injects 15 units of air into theNPH insulin vial but does not
withdraw
themedication.
Withdraws 5 units of regular insulin before withdrawing 15
units of NPH insulin.
Calculates thecombined total insulin dose as 20 units after
withdrawing theregular
insulin from thevial.
Injects 5 units of air into theregular insulin vial first and
withdraws 5 units of
regular insulin.
A patient has orders for 10 units of glargine insulin and 5 units
of regular insulin to be given at thesame time. Which action by
thenurse is appropriate?
Injecting 10 units of air into theglargine insulin vial first and not
withdrawing
themedication
Injecting 5 units of air into theregular insulin vial first and then
10 units of air into
theglargine insulin vial
Giving two separate injections using different needles and
syringes
Withdrawing 5 units of regular insulin first and then calculating