answers/ NUR 242 Med/Surg Exam 2 final for 2024 with detailed
questions and answers/ NUR 242 Med/Surg Exam 2 final for 2024 with
detailed questions and answers
DVT (deep vein thrombosis) - CORRECT ANSWER-The nurse is
performing a peripheral vascular assessment on a patient and notes
cramping pain, redness, and warmth in the L lower extremity. The
nurse recognizes these clinical manifestations as most likely related to
which of the following?
Immobility - CORRECT ANSWER-Which of the following is a factor that
increases the risk for deep vein thrombosis for Mona Hernandez?
Apply sequential compression stockings - CORRECT ANSWER-Which of
the following nonpharmacologic interventions is most important for
the nurse to initiate to prevent DVT from developing in hospitilized
patients?
ineffective peripheral tissue perfusion - CORRECT ANSWER-Which
nursing diagnoses would the nurse identify as the priority for Mona
Hernandez based on her assessment findings?
Explain the importance of reporting worsening calf pain, chest pain,
edema, or dyspnea - CORRECT ANSWER-The nurse has provided
patient education to Mona Hernandez and explained the blood tests
and procedures that were ordered. Which of the following would be
, important additional education to provide to the patient in relation to
DVT?
Write down and read back any orders received or info shared -
CORRECT ANSWER-The nurse is preparing to call the health care
provider regarding Mona Hernandez's new onset of redness, swelling,
and pain in the left lower extremity. In addition to using SBAR format
in communication, which of the following is most important for the
nurse to prevent communication errors when telephoning the health
care provider about the patient's change in condition?
A serious complaint of DVT is pulmonary embolus - CORRECT
ANSWER-Based on the initial patient data, report of pain, and physical
assessment findings, the nurse performs a focused respiratory status
on the patient. In addition to the patient's diagnosis of pneumonia,
the nurse recongnizes which of the following as the most important
rationale for assessing the patients respiratory status?
d). Always compare arms and legs bilateral - CORRECT ANSWER-The
nurse is preparing to perform a peripheral vascular assessment on a
patient w/ a ulcer on the right foot. Which general principle of
physical assessment is most important for the nurse to remember in
performing a peripheral vascular assessment?
a). have patient stand upright for the physical assessment
b). palpate for skin temperature using the fingertips
c). Ensure that the stethoscope is warmed before using