Final Exam 2 - Nursing 2005 Study
Guide Questions and Actual Detailed
Answers.
a client who has _______ insufficiency should sit with legs elevated for at least 20 minutes, 4-
5x/day - Answer venous
a nurse is caring for a patient who has chronic venous insufficiency and a prescription for thigh-
high compression stockings. when should the nurse plan to put the stockings on the patient? -
Answer applying stockings in the morning upon awakening and before getting out of bed
reduces venous stasis and assists in the venous return of blood to the heart. legs are less
edematous at this time
rolling compression stockings down can restrict circulation and cause: - Answer edema
the nurse is teaching the client at risk for arteriosclerosis. the nurse should teach the client that
dietary therapy to decrease homocysteine levels includes eating foods rich in - - Answer B
complex vitamins
why should the nurse teach the client to call the MD immediately if experiencing vision
problems/changes? - Answer sudden vision changes may be associated with stroke, a
complication of HTN
obesity is a contributing factor of HTN & is defined as a BMI > ___ - Answer > 30
a cardiac cath is an invasive procedure requiring the client to lie still in a supine position. the
client is usually sedated with medication, such as midazolam, during the procedure. to avoid
aspiration, the client should be NPO for how long prior to the procedure? - Answer NPO 6-12
hours before procedure to prevent aspirating
what is a complication that can occur following a coronary angiogram? - Answer dysrhythmias
the client returns from a coronary cath in which the femoral artery approach was used, sneezes.
what should be the nurse's priority intervention? - Answer check the insertion site. sneezing
increases the intra-abdominal pressure and increases the risk for clot disruption and bleeding
from the femoral artery
, PT and INR levels are monitored regularly in a client who is taking - Answer warfarin
nicotine causes - Answer vasoconstriction, elevates BP, and narrows coronary arteries
a nurse in the ED is caring for a client who reports abrupt, sharp, right-sided lower quadrant
abdominal pain & bring red vaginal bleeding. the client states she missed one period and cannot
be pregnant because she has an IUD. the nurse should suspect which of the following?
a. missed abortion
b. ectopic pregnancy
c. severe preeclampsia - Answer b. ectopic pregnancy -
manifestations include: unilateral lower quadrant pain with or without bleeding. use of an IUD is
a risk factor associated with this condition
a client who experienced a missed abortion would report: - Answer brownish discharge and
no pain
a client who has preeclampsia does not have vaginal bleeding and presents with right _____
quadrant epigastric pain - Answer right UPPER quadrant
a nurse is providing care for a client who is at 32 weeks gestation and has placenta previa. the
nurse notes that the client is actively bleeding. which of the following medications should the
nurse anticipate the MD will order?
a. betamethasone
b. indomethacin
c. nifedipine
d. methylergonovine - Answer a. betamethasone -
is given to promote lung maturity if delivery is anticipated
a nurse is caring for a client who has a diagnosis of ruptured ectopic pregnancy. which of the
following findings is seen with this condition?
a. no alteration in menses
b. transvaginal US indicating a fetus in the uterus
c. serum progesterone greater than the expected reference range
d. report of severe shoulder pain - Answer d. report of severe shoulder pain - d/t the presence
Guide Questions and Actual Detailed
Answers.
a client who has _______ insufficiency should sit with legs elevated for at least 20 minutes, 4-
5x/day - Answer venous
a nurse is caring for a patient who has chronic venous insufficiency and a prescription for thigh-
high compression stockings. when should the nurse plan to put the stockings on the patient? -
Answer applying stockings in the morning upon awakening and before getting out of bed
reduces venous stasis and assists in the venous return of blood to the heart. legs are less
edematous at this time
rolling compression stockings down can restrict circulation and cause: - Answer edema
the nurse is teaching the client at risk for arteriosclerosis. the nurse should teach the client that
dietary therapy to decrease homocysteine levels includes eating foods rich in - - Answer B
complex vitamins
why should the nurse teach the client to call the MD immediately if experiencing vision
problems/changes? - Answer sudden vision changes may be associated with stroke, a
complication of HTN
obesity is a contributing factor of HTN & is defined as a BMI > ___ - Answer > 30
a cardiac cath is an invasive procedure requiring the client to lie still in a supine position. the
client is usually sedated with medication, such as midazolam, during the procedure. to avoid
aspiration, the client should be NPO for how long prior to the procedure? - Answer NPO 6-12
hours before procedure to prevent aspirating
what is a complication that can occur following a coronary angiogram? - Answer dysrhythmias
the client returns from a coronary cath in which the femoral artery approach was used, sneezes.
what should be the nurse's priority intervention? - Answer check the insertion site. sneezing
increases the intra-abdominal pressure and increases the risk for clot disruption and bleeding
from the femoral artery
, PT and INR levels are monitored regularly in a client who is taking - Answer warfarin
nicotine causes - Answer vasoconstriction, elevates BP, and narrows coronary arteries
a nurse in the ED is caring for a client who reports abrupt, sharp, right-sided lower quadrant
abdominal pain & bring red vaginal bleeding. the client states she missed one period and cannot
be pregnant because she has an IUD. the nurse should suspect which of the following?
a. missed abortion
b. ectopic pregnancy
c. severe preeclampsia - Answer b. ectopic pregnancy -
manifestations include: unilateral lower quadrant pain with or without bleeding. use of an IUD is
a risk factor associated with this condition
a client who experienced a missed abortion would report: - Answer brownish discharge and
no pain
a client who has preeclampsia does not have vaginal bleeding and presents with right _____
quadrant epigastric pain - Answer right UPPER quadrant
a nurse is providing care for a client who is at 32 weeks gestation and has placenta previa. the
nurse notes that the client is actively bleeding. which of the following medications should the
nurse anticipate the MD will order?
a. betamethasone
b. indomethacin
c. nifedipine
d. methylergonovine - Answer a. betamethasone -
is given to promote lung maturity if delivery is anticipated
a nurse is caring for a client who has a diagnosis of ruptured ectopic pregnancy. which of the
following findings is seen with this condition?
a. no alteration in menses
b. transvaginal US indicating a fetus in the uterus
c. serum progesterone greater than the expected reference range
d. report of severe shoulder pain - Answer d. report of severe shoulder pain - d/t the presence
