Which of the following clients has the highest risk for venous thromboembolism
(VTE)?
a. A 62-year-old man with spider veins who is having arthroscopic knee surgery
b. A 32-year-old woman who smokes, takes oral contraceptives, and is planning a trip
to Europe
c. A 26-year-old woman who is 3 days postpartum and received maintenance IV fluids
for 12 hours during her labour
d. An active 72-year-old man at home recovering from transurethral resection of the
prostate for benign prostatic hyperplasia
Give this one a try later!
b. A 32-year-old woman who smokes, takes oral contraceptives, and is
planning a trip to Europe
,A nurse is trying to explain to a nursing student the differences between diabetic
ketoacidosis (DKA) and hyperglycemic hyperosmolar syndrome (HHS). Which
symptom(s) is/are associated with HHS?
a. Disorientation
b. Abdominal pain
c. Sudden occurrence
d. Extreme dehydration
e. Kussmaul respirations
f. Blood glucose >600 mg/dL
Give this one a try later!
a. Disorientation
d. Extreme dehydration
f. Blood glucose >600 mg/dL
A nurse caring for a client with peripheral arterial insufficiency determined the nursing
diagnosis of altered peripheral arterial insufficiency. Which intervention will be most
appropriate for the client?
a. Elevate his legs and arms above his heart when resting
b. Encourage the client to engage in moderate amount of exercise.
c. Encourage extended periods of sitting or standing
d. Discourage walking in order to limit pain.
Give this one a try later!
, b. Encourage the client to engage in moderate amount of exercise.
Rationale:
Peripheral arterial insufficiency is a circulation problem where the lower
extremity arteries are narrowed and blood flow is decreased. The goal of
nursing interventions is to promote or increase circulation. Claudication
symptoms can be reduced by gradually increasing activity so the nurse
should encourage the client to engage in a moderate amount of exercise.
- elevation of the legs and arms above the head when resting decreases
circulation because the blood has to go "up hill" when elevated.
- Extended periods of sitting or standing will further decrease circulation in
the client's lower extremities and worsen peripheral arterial insufficiency.
- Discouraging waking will further prevent circulation and worsen the
condition. Claudication symptoms can be reduced by gradually increasing
activity. The nurse should encourage the client to engage in a moderate
amount of exercise to help improve those symptoms by promoting
circulation.
A client with infective endocarditis develops sudden left leg pain with pallor,
paresthesia, and a loss of peripheral pulses. What should the nurse's initial action be?
a. Elevate the leg to promote venous return.
b. Start anticoagulant therapy with IV heparin.
c. Notify the health care provider of the change in perfusion.
d. Position the patient in reverse Trendelenburg position to promote perfusion.
Give this one a try later!
c. Notify the health care provider of the change in perfusion.
A client admitted with closed-angle glaucoma is prescribed mannitol. After
administration of the first dose of mannitol, the client develops peripheral edema.
Which of these statements are correct regarding mannitol and the development of
, peripheral edema?
a. Mannitol is an osmotic diuretic that drains fluid out of the cell into the vascular
spaces which can cause the body to go into fluid volume overload.
b. Mannitol is a loop diuretic that works in the loop of Henle to decrease extra fluid by
reducing urine output, therefore the body absorbs the excess fluid.
c. Mannitol is a potassium-sparing diuretic that increases the sodium level and
reduces the potassium level, thus fluid overload occurs.
d. Mannitol is a thiazide diuretic that increases sodium in the blood causing fluid to
accumulate in the peripheries.
Give this one a try later!
a. Mannitol is an osmotic diuretic that drains fluid out of the cell into the
vascular spaces which can cause the body to go into fluid volume
overload.
Rationale:
Mannitol is an osmotic diuretic that drains fluid out of the cell into the
vascular spaces which can cause the body to go into fluid volume
overload. Mannitol decreases intracranial pressure and intraocular
pressure. It is only administered intravenously. The client should be
monitored for adverse effects such as peripheral edema 30-60 minutes
after administration. The client should also be monitored for pulmonary
edema and congestive heart failure symptoms. Other side effects of
mannitol may include nausea, vomiting, excessive thirst and urination, dry
mouth, and headache.
Which of these statements made by a client diagnosed with herpes zoster is correct?
a. "Since I have shingles now, I should never develop shingles again."
b. "I can be around my daughter because she has already had chickenpox and will not
get shingles."
c. "I believe my herpetic lesions and rash will go away without taking my medicines."
d. "I will take my antivirals and pain medications as prescribed by my health care
provider (HCP)."
(VTE)?
a. A 62-year-old man with spider veins who is having arthroscopic knee surgery
b. A 32-year-old woman who smokes, takes oral contraceptives, and is planning a trip
to Europe
c. A 26-year-old woman who is 3 days postpartum and received maintenance IV fluids
for 12 hours during her labour
d. An active 72-year-old man at home recovering from transurethral resection of the
prostate for benign prostatic hyperplasia
Give this one a try later!
b. A 32-year-old woman who smokes, takes oral contraceptives, and is
planning a trip to Europe
,A nurse is trying to explain to a nursing student the differences between diabetic
ketoacidosis (DKA) and hyperglycemic hyperosmolar syndrome (HHS). Which
symptom(s) is/are associated with HHS?
a. Disorientation
b. Abdominal pain
c. Sudden occurrence
d. Extreme dehydration
e. Kussmaul respirations
f. Blood glucose >600 mg/dL
Give this one a try later!
a. Disorientation
d. Extreme dehydration
f. Blood glucose >600 mg/dL
A nurse caring for a client with peripheral arterial insufficiency determined the nursing
diagnosis of altered peripheral arterial insufficiency. Which intervention will be most
appropriate for the client?
a. Elevate his legs and arms above his heart when resting
b. Encourage the client to engage in moderate amount of exercise.
c. Encourage extended periods of sitting or standing
d. Discourage walking in order to limit pain.
Give this one a try later!
, b. Encourage the client to engage in moderate amount of exercise.
Rationale:
Peripheral arterial insufficiency is a circulation problem where the lower
extremity arteries are narrowed and blood flow is decreased. The goal of
nursing interventions is to promote or increase circulation. Claudication
symptoms can be reduced by gradually increasing activity so the nurse
should encourage the client to engage in a moderate amount of exercise.
- elevation of the legs and arms above the head when resting decreases
circulation because the blood has to go "up hill" when elevated.
- Extended periods of sitting or standing will further decrease circulation in
the client's lower extremities and worsen peripheral arterial insufficiency.
- Discouraging waking will further prevent circulation and worsen the
condition. Claudication symptoms can be reduced by gradually increasing
activity. The nurse should encourage the client to engage in a moderate
amount of exercise to help improve those symptoms by promoting
circulation.
A client with infective endocarditis develops sudden left leg pain with pallor,
paresthesia, and a loss of peripheral pulses. What should the nurse's initial action be?
a. Elevate the leg to promote venous return.
b. Start anticoagulant therapy with IV heparin.
c. Notify the health care provider of the change in perfusion.
d. Position the patient in reverse Trendelenburg position to promote perfusion.
Give this one a try later!
c. Notify the health care provider of the change in perfusion.
A client admitted with closed-angle glaucoma is prescribed mannitol. After
administration of the first dose of mannitol, the client develops peripheral edema.
Which of these statements are correct regarding mannitol and the development of
, peripheral edema?
a. Mannitol is an osmotic diuretic that drains fluid out of the cell into the vascular
spaces which can cause the body to go into fluid volume overload.
b. Mannitol is a loop diuretic that works in the loop of Henle to decrease extra fluid by
reducing urine output, therefore the body absorbs the excess fluid.
c. Mannitol is a potassium-sparing diuretic that increases the sodium level and
reduces the potassium level, thus fluid overload occurs.
d. Mannitol is a thiazide diuretic that increases sodium in the blood causing fluid to
accumulate in the peripheries.
Give this one a try later!
a. Mannitol is an osmotic diuretic that drains fluid out of the cell into the
vascular spaces which can cause the body to go into fluid volume
overload.
Rationale:
Mannitol is an osmotic diuretic that drains fluid out of the cell into the
vascular spaces which can cause the body to go into fluid volume
overload. Mannitol decreases intracranial pressure and intraocular
pressure. It is only administered intravenously. The client should be
monitored for adverse effects such as peripheral edema 30-60 minutes
after administration. The client should also be monitored for pulmonary
edema and congestive heart failure symptoms. Other side effects of
mannitol may include nausea, vomiting, excessive thirst and urination, dry
mouth, and headache.
Which of these statements made by a client diagnosed with herpes zoster is correct?
a. "Since I have shingles now, I should never develop shingles again."
b. "I can be around my daughter because she has already had chickenpox and will not
get shingles."
c. "I believe my herpetic lesions and rash will go away without taking my medicines."
d. "I will take my antivirals and pain medications as prescribed by my health care
provider (HCP)."
