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Question 1 of 25
1. Question
Mike, a 43-year old construction worker, has a history of hypertension. He smokes two packs of cigarettes a day, is nervous about the possibility of being unemployed, and has difficulty coping with stress. His current concern is calf pain during minimal exercise that decreased with rest. The nurse assesses Mike’s symptoms as being associated with peripheral arterial occlusive disease. The nursing diagnosis is probably:
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Question 2 of 25
2. Question
A 24-year old man seeks medical attention for complaints of claudication in the arch of the foot. A nurse also notes superficial thrombophlebitis of the lower leg. The nurse would next assess the client for:
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Question 3 of 25
3. Question
Intravenous heparin therapy is ordered for a client. While implementing this order, a nurse ensures that which of the following medications is available in the nursing unit?
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Question 4 of 25
4. Question
A client who has been receiving heparin therapy also is started on warfarin sodium (coumadin). The client asks the nurse why both medications are being administered. In formulating a response, the nurse incorporates the understanding that warfarin sodium:
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Question 5 of 25
5. Question
A nurse has the order to begin administering warfarin sodium (Coumadin) to a client. While implementing this order, the nurse ensures that which of the following medications is available on the nursing unit as the antidote for Coumadin?
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Question 6 of 25
6. Question
A nurse is assessing the neurovascular status of a client who returned to the surgical nursing unit 4 hours ago after undergoing an aortoiliac bypass graft. The affected leg is warm, and the nurse notes redness and edema. The pedal pulse is palpable and unchanged from admission. The nurse interprets that the neurovascular status is:
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Question 7 of 25
7. Question
A client is admitted with a venous stasis leg ulcer. A nurse assesses the ulcer, expecting to note that the ulcer:
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Question 8 of 25
8. Question
In preparation for the discharge of a client with arterial insufficiency and Raynaud’s disease, client teaching instructions should include:
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Question 9 of 25
9. Question
A client comes to the outpatient clinic and tells the nurse that he has had leg pains that begin when he walks but cease when he stops walking. Which of the following conditions would the nurse assess for?
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Question 10 of 25
10. Question
Which of the following characteristics is typical of the pain associated with DVT?
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Question 11 of 25
11. Question
Cancer can cause changes in what component of Virchow’s triad?
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Question 12 of 25
12. Question
Varicose veins can cause changes in what component of Virchow’s triad?
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Question 13 of 25
13. Question
Which technique is considered the gold standard for diagnosing DVT?
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Question 14 of 25
14. Question
A nurse is assessing a client with an abdominal aortic aneurysm. Which of the following assessment findings by the nurse is probably unrelated to an aneurysm?
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Question 15 of 25
15. Question
A nurse is caring for a client who had a percutaneous insertion of an inferior vena cava filter and was on heparin therapy before surgery. The nurse would inspect the surgical site most closely for signs of:
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Question 16 of 25
16. Question
A 68-year-old woman is scheduled to undergo mitral valve replacement for severe mitral stenosis and mitral regurgitation. Although the diagnosis was made during childhood, she did not have any symptoms until 4 years ago. Recently, she noticed increased symptoms, despite daily doses of digoxin and furosemide. During the initial interview with the nice lady, the nurse would most likely learn that the client’s childhood health history included:
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Question 17 of 25
17. Question
Which of the following signs and symptoms would most likely be found in a client with mitral regurgitation?
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Question 18 of 25
18. Question
The nurse expects that a client with mitral stenosis would demonstrate symptoms associated with congestion in the:
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Question 19 of 25
19. Question
Because a client has mitral stenosis and is a prospective valve recipient, the nurse preoperatively assesses the client’s past compliance with medical regimens. Lack of compliance with which of the following regimens would pose the greatest health hazard to this client?
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Question 20 of 25
20. Question
Good dental care is an important measure in reducing the risk of endocarditis. A teaching plan to promote good dental care in a client with mitral stenosis should include a demonstration of the proper use of:
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Question 21 of 25
21. Question
A client has been admitted to the hospital with a diagnosis of suspected bacterial endocarditis. The complication the nurse will constantly observe for is:
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Question 22 of 25
22. Question
Cholesterol, frequently discussed in relation to atherosclerosis, is a substance that:
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Question 23 of 25
23. Question
When teaching a client with a cardiac problem, who is on a high-unsaturated fatty-acid diet, the nurse should stress the importance of increasing the intake of:
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Question 24 of 25
24. Question
A 2-gram sodium diet is prescribed for a client with severe hypertension. The client does not like the diet, and the nurse hears the client’s request that the spouse “Bring in some good home-cooked food.” It would be most effective for the nurse to plan to:
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Question 25 of 25
25. Question
What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor? Select all that apply.
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