RNSG 2404 COMMONS FINAL REVIEW well answered

RNSG 2404 COMMONS FINAL REVIEWA nurse is assessing a client in the emergency room who has a brady dysrhythmia. Which of the following findings should the nurse expect? A. Confusion B. Friction Rub C. Hypertension D. Dry Skin - correct answer A. Confusion R: it can cause decreased tissue perfusion, which can lead to confusion. monitor the clients mental status A nurse is admitting a client who has a leg ulcer and a history of DM. The nurse should use which of the following focused assessments to help differentiate between an arterial ulcer and a venous stasis ulcer? A. Explore the clients family history of peripheral vascular disease B. Note the presence or absence of pain at the ulcer site C. Inquire about the presence or absence of claudication D. Ask if the client has had a recent infection - correct answer C. Inquire about the presence or absence of claudication Experiencing claudication helps differentiate venous from arterial ulcers. (arterial ulcers experience claudication) A nurse is preparing a client for coronary angiography. The nurse should report which of the following findings to the provider prior to the procedure? A. Hemoglobin 14.4 g/dl b. History of peripheral arterial disease c. Urine output 200 ml/4 hr d. Previous allergic reaction to shellfish - correct answer D. Previous allergic reaction to shellfish