Med-Surg II HESI Exam - set two
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1. The nurse is assessing a 48-year-old client 4
with a history of smoking during a routine
clinic visit. The client, who exercises regu-
larly, reports having pain in the calf dur-
ing exercise that disappears at rest. Which
of the following findings requires further
evaluation?
1. Heart rate 57 bpm.
2. SpO2 of 94% on room air.
3. Blood pressure 134/82.
4. Ankle-brachial index of 0.65.
2. A client with peripheral vascular disease 2
has undergone a right femoralpopliteal
bypass graft. The blood pressure has de-
creased from 124/80 to 94/62. What
should the nurse assess first?
1. IV fluid solution.
2. Pedal pulses.
3. Nasal cannula flow rate.
4. Capillary refill.
3. An overweight client taking warfarin 1, 2, 3, 5
(Coumadin) has dry skin due to de-
creased
arterial blood flow. What should the nurse
instruct the client to do? Select all that
apply.
1. Apply lanolin or petroleum jelly to intact
, Med-Surg II HESI Exam - set two
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skin.
2. Follow a reduced-calorie, reduced-fat
diet.
3. Inspect the involved areas daily for new
ulcerations.
4. Instruct the client to limit activities of
daily living (ADLs).
5. Use an electric razor to shave.
4. The nurse is caring for a client with periph- 3
eral artery disease who has recently
been prescribed clopidogrel (Plavix). The
nurse understands that more teaching is
necessary when the client states which of
the following:
1. "I should not be surprised if I bruise
easier or if my gums bleed a little when
brushing my teeth."
2. "It doesn't really matter if I take this
medicine with or without food, whatever
works best for my stomach."
3. "I should stop taking Plavix if it makes
me feel weak and dizzy."
4. "The doctor prescribed this medicine to
make my platelets less likely to stick
together and help prevent clots from
forming."
5. A client is receiving Cilostazol (Pletal) for 3
peripheral arterial disease causing
intermittent claudication. The nurse de-
, Med-Surg II HESI Exam - set two
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termines this medication is effective when
the
client reports which of the following?
1. "I am having fewer aches and pains."
2. "I do not have headaches anymore."
3. "I am able to walk further without leg
pain."
4. "My toes are turning grayish black in
color."
6. The client admitted with peripheral vascu- 1
lar disease (PVD) asks the nurse why
her legs hurt when she walks. The nurse
bases a response on the knowledge that
the
main characteristic of PVD is:
1. Decreased blood flow.
2. Increased blood flow.
3. Slow blood flow.
4. Thrombus formation.
7. The nurse is planning care for a client who 1
is diagnosed with peripheral vascular
disease (PVD) and has a history of heart
failure. The nurse should develop a plan
of
care that is based on the fact that the
client may have a low tolerance for exer-
cise
related to:
Study online at https://quizlet.com/_95fare
1. The nurse is assessing a 48-year-old client 4
with a history of smoking during a routine
clinic visit. The client, who exercises regu-
larly, reports having pain in the calf dur-
ing exercise that disappears at rest. Which
of the following findings requires further
evaluation?
1. Heart rate 57 bpm.
2. SpO2 of 94% on room air.
3. Blood pressure 134/82.
4. Ankle-brachial index of 0.65.
2. A client with peripheral vascular disease 2
has undergone a right femoralpopliteal
bypass graft. The blood pressure has de-
creased from 124/80 to 94/62. What
should the nurse assess first?
1. IV fluid solution.
2. Pedal pulses.
3. Nasal cannula flow rate.
4. Capillary refill.
3. An overweight client taking warfarin 1, 2, 3, 5
(Coumadin) has dry skin due to de-
creased
arterial blood flow. What should the nurse
instruct the client to do? Select all that
apply.
1. Apply lanolin or petroleum jelly to intact
, Med-Surg II HESI Exam - set two
Study online at https://quizlet.com/_95fare
skin.
2. Follow a reduced-calorie, reduced-fat
diet.
3. Inspect the involved areas daily for new
ulcerations.
4. Instruct the client to limit activities of
daily living (ADLs).
5. Use an electric razor to shave.
4. The nurse is caring for a client with periph- 3
eral artery disease who has recently
been prescribed clopidogrel (Plavix). The
nurse understands that more teaching is
necessary when the client states which of
the following:
1. "I should not be surprised if I bruise
easier or if my gums bleed a little when
brushing my teeth."
2. "It doesn't really matter if I take this
medicine with or without food, whatever
works best for my stomach."
3. "I should stop taking Plavix if it makes
me feel weak and dizzy."
4. "The doctor prescribed this medicine to
make my platelets less likely to stick
together and help prevent clots from
forming."
5. A client is receiving Cilostazol (Pletal) for 3
peripheral arterial disease causing
intermittent claudication. The nurse de-
, Med-Surg II HESI Exam - set two
Study online at https://quizlet.com/_95fare
termines this medication is effective when
the
client reports which of the following?
1. "I am having fewer aches and pains."
2. "I do not have headaches anymore."
3. "I am able to walk further without leg
pain."
4. "My toes are turning grayish black in
color."
6. The client admitted with peripheral vascu- 1
lar disease (PVD) asks the nurse why
her legs hurt when she walks. The nurse
bases a response on the knowledge that
the
main characteristic of PVD is:
1. Decreased blood flow.
2. Increased blood flow.
3. Slow blood flow.
4. Thrombus formation.
7. The nurse is planning care for a client who 1
is diagnosed with peripheral vascular
disease (PVD) and has a history of heart
failure. The nurse should develop a plan
of
care that is based on the fact that the
client may have a low tolerance for exer-
cise
related to:
