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A nurse is caring for a client who has a new diagnosis of peripheral artery disease. Which of the following findings should the nurse expect?
- A. Intermittent claudication
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Intermittent claudication, pain in the legs during activity, is a common symptom of peripheral artery disease due to reduced blood flow.
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A nurse is collecting data from a client who has acute cholecystitis. Which of the following findings should the nurse expect?
- A. Pain in the right upper abdomen
- B. Discomfort with urination
- C. Pain radiating to the jaw
- D. Increased abdominal discomfort prior to meals
Correct Answer: A
Rationale: Pain in the right upper abdomen is correct. Acute cholecystitis is the inflammation of the gallbladder, typically caused by gallstones blocking bile flow. This condition leads to severe right upper quadrant (RUQ) pain, often triggered by fatty meals and sometimes accompanied by nausea, vomiting, and fever.
A nurse is reinforcing teaching with a client who has a new diagnosis of hypothyroidism. Which of the following findings should the nurse expect?
- A. Fatigue
- B. Weight loss
- C. Tachycardia
- D. Heat intolerance
Correct Answer: A
Rationale: Fatigue is a common symptom of hypothyroidism due to a slowed metabolism from decreased thyroid hormone production.
A nurse is reinforcing teaching with a client who has a new prescription for a salmeterol inhaler. Which of the following instructions should the nurse include?
- A. Use it as needed for shortness of breath.
- B. Rinse your mouth after use.
- C. Take it once daily.
- D. Shake the inhaler before use.
Correct Answer: C
Rationale: Taking salmeterol once daily is correct, as it is a long-acting bronchodilator used for maintenance therapy in asthma or COPD.
A nurse is caring for a client who is receiving IV fluids and develops dyspnea. Which of the following actions should the nurse take first?
- A. Elevate the head of the bed.
- B. Increase the infusion rate.
- C. Administer oxygen.
- D. Notify the provider.
Correct Answer: A
Rationale: Elevating the head of the bed is the first action to improve breathing in a client with dyspnea, facilitating lung expansion.
A nurse is caring for a client who has a new diagnosis of myasthenia gravis. Which of the following findings should the nurse expect?
- A. Muscle weakness
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Muscle weakness, especially in the eyes and face, is a hallmark symptom of myasthenia gravis due to autoimmune attack on acetylcholine receptors.