28. When assessing a patient with peripheral vascular disease which clinical manifestation would
indicate complete arterial obstruction in the leg?
a. aching pain in the left calf
b. burning pain in the left calf
c. Coldness of the left calf and ankle.
d. Numbness and tingling in the left leg.
29. You are planning care for a patient with a history of peripheral vascular disease who has
symptoms of claudication. Nursing care should be centered toward avoiding which of the
following situations?
a. Oxygen is absent.
b. Oxygen demand by the muscle exceeds the supply.
c. Oxygen supply exceeds the demand of the working muscle.
d. Oxygen demand and supply of the working muscle.
30. Your discharge teaching plan for a patient with hea… importance of which of the following?
a. Walking 2 miles every day.
b. Maintaining a high fiber diet.
c. Remaining sedentary for most of the day.
d. Obtaining daily weights at the same time every day.
31. You should teach the patient that signs of digoxin toxicity include which of the following?
a. Increased appetite.
b. Elevated blood pressure.
c. Rash over the neck and back.
d. Visual disturbances such as seeing yellow spots.
32. You teach a patient with heart failure to take oral furosemide in the morning. The primary
reason for this is to help:
a. Re…rapid drug absorption.
b. Prevent electrolyte imbalances.
c. Prevent sleep disturbances in the night.
d. Excrete excessive fluid accumulated during the night.
This study source was downloaded by 100000852681095 from CourseHero.com on 12-05-2022 02:34:06 GMT -06:00
https://www.coursehero.com/file/13651963/Med-Surg-Exam1/
, 33. How should you instruct the patient to use sublingual nitroglycerin tablets when chest pain
occurs?
a. Take one tablet every 2 to 5 minutes until the pain stops.
b. Take one tablet and rest for 10 minutes. Call the physician if the pain persists after 10 minutes.
c. Take one tablet. If the pain persists after 5 minutes take two tablets. If pain still persists after 5
minutes, call the physician.
d. Take one tablet, then an additional tablet every 5 minutes for a total of three tablets. Call 911 if
the pain persists after three tablets.
34. A patient has a throbbing headache when nitroglycerin is taken for angina. You should
instruct the patient that:
a. The client should lie in a supine position to alleviate the headache.
b. Acetaminophen (Tylenol) can be taken for this common side effect.
c. Taking the nitroglycerin with a few glasses of water will reduce the problem.
d. Nitroglycerin should be avoided if the patient is experiencing this serious side effect.
35. Which of the following is not a risk factor for the development of atherosclerosis?
a. Late onset of puberty.
b. Family history of early heart attack.
c. Elevated fasting blood glucose concentration.
d. Total blood cholesterol level greater than 220 mg/dL
36. A patient who experiences angina has been told to follow a low-cholesterol diet. Which of the
following meals would be best on a low-cholesterol diet?
a. Hamburger, salad, and a milkshake.
b. Baked liver, green beans, and coffee.
c. Fried chicken, green beans, and skim milk.
d. Spaghetti with tomato sauce, salad, and coffee.
37. You receive emergency laboratory results for a patient with severe chest pain and
immediately inform the physician. An increased Troponin I and myoglobin level suggests which
of the following?
a. Cancer
b. Liver disease.
c. Hypertension.
This study source was downloaded by 100000852681095 from CourseHero.com on 12-05-2022 02:34:06 GMT -06:00
https://www.coursehero.com/file/13651963/Med-Surg-Exam1/
indicate complete arterial obstruction in the leg?
a. aching pain in the left calf
b. burning pain in the left calf
c. Coldness of the left calf and ankle.
d. Numbness and tingling in the left leg.
29. You are planning care for a patient with a history of peripheral vascular disease who has
symptoms of claudication. Nursing care should be centered toward avoiding which of the
following situations?
a. Oxygen is absent.
b. Oxygen demand by the muscle exceeds the supply.
c. Oxygen supply exceeds the demand of the working muscle.
d. Oxygen demand and supply of the working muscle.
30. Your discharge teaching plan for a patient with hea… importance of which of the following?
a. Walking 2 miles every day.
b. Maintaining a high fiber diet.
c. Remaining sedentary for most of the day.
d. Obtaining daily weights at the same time every day.
31. You should teach the patient that signs of digoxin toxicity include which of the following?
a. Increased appetite.
b. Elevated blood pressure.
c. Rash over the neck and back.
d. Visual disturbances such as seeing yellow spots.
32. You teach a patient with heart failure to take oral furosemide in the morning. The primary
reason for this is to help:
a. Re…rapid drug absorption.
b. Prevent electrolyte imbalances.
c. Prevent sleep disturbances in the night.
d. Excrete excessive fluid accumulated during the night.
This study source was downloaded by 100000852681095 from CourseHero.com on 12-05-2022 02:34:06 GMT -06:00
https://www.coursehero.com/file/13651963/Med-Surg-Exam1/
, 33. How should you instruct the patient to use sublingual nitroglycerin tablets when chest pain
occurs?
a. Take one tablet every 2 to 5 minutes until the pain stops.
b. Take one tablet and rest for 10 minutes. Call the physician if the pain persists after 10 minutes.
c. Take one tablet. If the pain persists after 5 minutes take two tablets. If pain still persists after 5
minutes, call the physician.
d. Take one tablet, then an additional tablet every 5 minutes for a total of three tablets. Call 911 if
the pain persists after three tablets.
34. A patient has a throbbing headache when nitroglycerin is taken for angina. You should
instruct the patient that:
a. The client should lie in a supine position to alleviate the headache.
b. Acetaminophen (Tylenol) can be taken for this common side effect.
c. Taking the nitroglycerin with a few glasses of water will reduce the problem.
d. Nitroglycerin should be avoided if the patient is experiencing this serious side effect.
35. Which of the following is not a risk factor for the development of atherosclerosis?
a. Late onset of puberty.
b. Family history of early heart attack.
c. Elevated fasting blood glucose concentration.
d. Total blood cholesterol level greater than 220 mg/dL
36. A patient who experiences angina has been told to follow a low-cholesterol diet. Which of the
following meals would be best on a low-cholesterol diet?
a. Hamburger, salad, and a milkshake.
b. Baked liver, green beans, and coffee.
c. Fried chicken, green beans, and skim milk.
d. Spaghetti with tomato sauce, salad, and coffee.
37. You receive emergency laboratory results for a patient with severe chest pain and
immediately inform the physician. An increased Troponin I and myoglobin level suggests which
of the following?
a. Cancer
b. Liver disease.
c. Hypertension.
This study source was downloaded by 100000852681095 from CourseHero.com on 12-05-2022 02:34:06 GMT -06:00
https://www.coursehero.com/file/13651963/Med-Surg-Exam1/
