NURS 640 EXAM 2
A client is diagnosed with G6PD anemia. Which of the following
medications should the nurse instruct the client to avoid? (Select all
that apply.) - ANSWERS-antimalarial drugs (e.g., chloroquine),
common coal tar analgesics (including aspirin), nitrofurantoin, oral
hypoglycemics, sulfonamides, thiazides, diuretics, and vitamin K
2.A client diagnosed with sickle-cell anemia is experiencing vaso-
occlusive crisis. Which of the following interventions would be
appropriate for this client? - ANSWERS-adequate hydration,
oxygenation, adequate nutrition, rest, medications, management of
fever and complications, and use of transfusions.
A client is having diagnostic tests to determine the cause of anemia.
The nurse realizes that these tests will focus on which of the
following? (Select all that apply.) - ANSWERS-bleeding that results
in red blood cell loss, 2) conditions that cause red blood cell
destruction, and 3) conditions that cause a reduction in the number of
red blood cells made by the body
A client tells the nurse that he is anemic because of a poor diet. Which
deficiencies cause nutritional anemias? - ANSWERS-Nutritional
anemias can be caused by deficiencies in iron, folic acid, or vitamin
B-12
,Which of the following should the nurse instruct a client in order to
reduce the risk factors for developing arteriosclerosis - ANSWERS-
stop smoking
The nurse is concerned that an elderly client has evidence of
arteriosclerosis since the clients capillary refill is greater than: -
ANSWERS-5 seconds
.When instructing a client on ways to lower his cholesterol levels,
which of the following should the nurse include? - ANSWERS-
Cholesterol is located in animal sources, so decreasing meat and eggs
will lower cholesterol levels.
A client diagnosed with arteriosclerosis is prescribed an anticoagulant.
For which of the following should the nurse assess in this client -
ANSWERS-greater risk of bleeding and bruising.
The nurse is assessing a client diagnosed with an abdominal aortic
aneurysm. Which of the following sounds did the nurse auscultate
during the assessment - ANSWERS-a bruit at the site of the aneurysm
A client is admitted with abdominal aortic aneurysm. For which of the
following complications should the nurse be concerned? -
ANSWERS-rupture
A client who has experienced signs of Virchows triad has developed a
deep vein thrombosis. Which of the following is not a part of this
,triad? - ANSWERS-venous stasis, vessel wall injury, and alteration of
blood coagulation.
A client is diagnosed with Buergers disease. Which of the following
should the nurse instruct the client regarding this disorder? -
ANSWERS-Smoking exacerbates the disease
More common in men>women
More common in Asians
A client is diagnosed with Raynauds disease. Which of the following
will the nurse most likely assess in this client? - ANSWERS-
venospasms; pain; cyanosis; redness; numb, cold extremities; and
swelling
A client is diagnosed with acute peripheral arterial occlusion. The
nurse should prepare to provide which of the following interventions
for this client? - ANSWERS-intravenous heparin therapy is usually
the first intervention
A client receiving a heparin infusion is demonstrating signs of acute
bleeding. Which of the following should the nurse prepare to
administer to this client? - ANSWERS-Protamine Sulfate
clients blood pressure measurements have a 20 mmHg difference
between the upper extremity readings. Which of the following does
, this assessment finding suggest to the nurse? - ANSWERS-subclavian
steal syndrome
The nurse is assessing a client for risks in the development of varicose
veins. Which of the following findings would increase this clients
risk? - ANSWERS-thrombophlebitis, obesity, prolonged standing,
pregnancy, and liver or pancreas dysfunction
A client is having laboratory tests conducted to confirm a diagnosis of
arteriosclerosis. Which of the following laboratory values would
support this clients medical diagnosis? - ANSWERS-cholesterol,
LDL, HDL, and triglycerides.
The nurse is reviewing the medications prescribed for a client
diagnosed with dilated cardiomyopathy. Which of the following
medications are commonly prescribed for this disease process? -
ANSWERS-ACE inhibitor to prevent further dilation of the heart,
Beta-blocker to reduce the strain Diuretics Anticoagulants
Antiarrhythmics
A client is diagnosed with emphysema. For which of the following
hematologic disorders should the nurse include in the assessment of
this client? - ANSWERS-polycythemia caused by an increase in the
number of red blood cells in response to a reduced amount of oxygen
in the body
Inpatient insulin dosing - ANSWERS-TDD
50% basal
A client is diagnosed with G6PD anemia. Which of the following
medications should the nurse instruct the client to avoid? (Select all
that apply.) - ANSWERS-antimalarial drugs (e.g., chloroquine),
common coal tar analgesics (including aspirin), nitrofurantoin, oral
hypoglycemics, sulfonamides, thiazides, diuretics, and vitamin K
2.A client diagnosed with sickle-cell anemia is experiencing vaso-
occlusive crisis. Which of the following interventions would be
appropriate for this client? - ANSWERS-adequate hydration,
oxygenation, adequate nutrition, rest, medications, management of
fever and complications, and use of transfusions.
A client is having diagnostic tests to determine the cause of anemia.
The nurse realizes that these tests will focus on which of the
following? (Select all that apply.) - ANSWERS-bleeding that results
in red blood cell loss, 2) conditions that cause red blood cell
destruction, and 3) conditions that cause a reduction in the number of
red blood cells made by the body
A client tells the nurse that he is anemic because of a poor diet. Which
deficiencies cause nutritional anemias? - ANSWERS-Nutritional
anemias can be caused by deficiencies in iron, folic acid, or vitamin
B-12
,Which of the following should the nurse instruct a client in order to
reduce the risk factors for developing arteriosclerosis - ANSWERS-
stop smoking
The nurse is concerned that an elderly client has evidence of
arteriosclerosis since the clients capillary refill is greater than: -
ANSWERS-5 seconds
.When instructing a client on ways to lower his cholesterol levels,
which of the following should the nurse include? - ANSWERS-
Cholesterol is located in animal sources, so decreasing meat and eggs
will lower cholesterol levels.
A client diagnosed with arteriosclerosis is prescribed an anticoagulant.
For which of the following should the nurse assess in this client -
ANSWERS-greater risk of bleeding and bruising.
The nurse is assessing a client diagnosed with an abdominal aortic
aneurysm. Which of the following sounds did the nurse auscultate
during the assessment - ANSWERS-a bruit at the site of the aneurysm
A client is admitted with abdominal aortic aneurysm. For which of the
following complications should the nurse be concerned? -
ANSWERS-rupture
A client who has experienced signs of Virchows triad has developed a
deep vein thrombosis. Which of the following is not a part of this
,triad? - ANSWERS-venous stasis, vessel wall injury, and alteration of
blood coagulation.
A client is diagnosed with Buergers disease. Which of the following
should the nurse instruct the client regarding this disorder? -
ANSWERS-Smoking exacerbates the disease
More common in men>women
More common in Asians
A client is diagnosed with Raynauds disease. Which of the following
will the nurse most likely assess in this client? - ANSWERS-
venospasms; pain; cyanosis; redness; numb, cold extremities; and
swelling
A client is diagnosed with acute peripheral arterial occlusion. The
nurse should prepare to provide which of the following interventions
for this client? - ANSWERS-intravenous heparin therapy is usually
the first intervention
A client receiving a heparin infusion is demonstrating signs of acute
bleeding. Which of the following should the nurse prepare to
administer to this client? - ANSWERS-Protamine Sulfate
clients blood pressure measurements have a 20 mmHg difference
between the upper extremity readings. Which of the following does
, this assessment finding suggest to the nurse? - ANSWERS-subclavian
steal syndrome
The nurse is assessing a client for risks in the development of varicose
veins. Which of the following findings would increase this clients
risk? - ANSWERS-thrombophlebitis, obesity, prolonged standing,
pregnancy, and liver or pancreas dysfunction
A client is having laboratory tests conducted to confirm a diagnosis of
arteriosclerosis. Which of the following laboratory values would
support this clients medical diagnosis? - ANSWERS-cholesterol,
LDL, HDL, and triglycerides.
The nurse is reviewing the medications prescribed for a client
diagnosed with dilated cardiomyopathy. Which of the following
medications are commonly prescribed for this disease process? -
ANSWERS-ACE inhibitor to prevent further dilation of the heart,
Beta-blocker to reduce the strain Diuretics Anticoagulants
Antiarrhythmics
A client is diagnosed with emphysema. For which of the following
hematologic disorders should the nurse include in the assessment of
this client? - ANSWERS-polycythemia caused by an increase in the
number of red blood cells in response to a reduced amount of oxygen
in the body
Inpatient insulin dosing - ANSWERS-TDD
50% basal
