Nokea
The nurse is caring for a client with angina. Which symptom should the nurse expect?
- A. Chest pain relieved by rest
- B. Fever and chills
- C. Swelling in the legs
- D. Persistent dry cough
Correct Answer: A
Rationale: Angina typically presents as chest pain that is relieved by rest due to reduced myocardial oxygen demand.
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Which nursing instruction is most beneficial in helping relieve the client's symptoms caused by varicose veins?
- A. Elevate your legs frequently during the day.
- B. Keep the room temperature above 70°F (21°C).
- C. Massage your calves when experiencing leg cramps.
- D. Modify your lifestyle to include sedentary activities.
Correct Answer: A
Rationale: Elevating the legs promotes venous return, reducing swelling and discomfort associated with varicose veins.
The nurse is preparing the client for an arteriogram. Which instruction is most important to include?
- A. You will need to lie flat for several hours after the procedure.
- B. You can eat a light meal before the test.
- C. Avoid moving your legs during the procedure.
- D. Take your blood pressure medication as usual.
Correct Answer: A
Rationale: Lying flat post-arteriogram prevents bleeding at the catheter insertion site, typically in the femoral artery.
The nurse is assessing the client diagnosed with long-term arterial occlusive disease. Which assessment data support the diagnosis?
- A. Hairless skin on the legs.
- B. Brittle, flaky toenails.
- C. Petechiae on the soles of feet.
- D. Nonpitting ankle edema.
Correct Answer: A
Rationale: Hairless skin (A) indicates chronic ischemia in PAD. Brittle nails (B) are nonspecific, petechiae (C) suggest bleeding, and nonpitting edema (D) is unrelated (pitting edema is venous).
Which dietary recommendation should the nurse provide to a client with hypertension?
- A. Follow the DASH diet.
- B. Increase red meat consumption.
- C. Drink caffeinated beverages daily.
- D. Use table salt liberally.
Correct Answer: A
Rationale: The DASH diet, rich in fruits, vegetables, and low-fat dairy, is proven to lower blood pressure.
Which diagnostic test should the nurse expect for a client with suspected pericarditis?
- A. Electrocardiogram (ECG)
- B. Complete blood count (CBC)
- C. D-dimer test
- D. Chest X-ray
Correct Answer: A
Rationale: An ECG can show characteristic ST-segment elevation in pericarditis due to pericardial inflammation.