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The nurse is providing discharge teaching to a client following coronary artery bypass graft (CABG) surgery. The nurse should advise the client that they may resume sexual activity
- A. after exercise tolerance is assessed.
- B. one week after surgery.
- C. when the client can comfortably jog two miles.
- D. three months after surgery.
Correct Answer: A
Rationale: Sexual activity can resume after CABG once exercise tolerance is confirmed, typically when the client can climb two flights of stairs without symptoms.
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The nurse is teaching a group of clients about varicose veins and home care management. Which of the following should the nurse include in the teaching session?
- A. When you are sitting, keep your legs lower than your heart
- B. Wear compression stockings during the day
- C. Participate in activities that have you stand for long periods
- D. Take a low-dose aspirin to prevent the development of new varicose veins
Correct Answer: B
Rationale: Compression stockings reduce venous pooling and improve circulation, a key management strategy for varicose veins.
The nurse is planning care for a client admitted with infective endocarditis (IE). Which assessment finding would indicate that the client is experiencing a complication?
- A. petechial rashes
- B. flank pain
- C. headache
- D. fever
Correct Answer: B
Rationale: Flank pain may indicate renal embolism, a complication of infective endocarditis due to septic emboli.
What is the correct documentation of the patient's peripheral pulse when the finding is that the posterior tibial pulse is weak and thready?
- A. Grade C posterior tibial pulse
- B. Posterior tibial pulse is Grade B
- C. The client's posterior tibial is 2
- D. Posterior tibial pulse is 1
Correct Answer: D
Rationale: A weak and thready pulse is documented as a 1+ on a 0-4 scale, where 1 indicates a barely palpable pulse.
The nurse is caring for a client with Buerger's disease. The nurse plans on suggesting that the client receives a referral for
- A. occupational therapy.
- B. speech therapy.
- C. smoking cessation.
- D. group psychotherapy.
Correct Answer: C
Rationale: Buerger's disease is strongly linked to smoking, so cessation is critical to prevent disease progression.
The nurse is caring for a client and upon initial evaluation the nurse suspects femoral artery occlusion. The nurse should take which action?
- A. Elevate the affected leg
- B. Apply a cold compress
- C. Notify the primary healthcare provider (PHCP)
- D. Perform passive range of motion to the affected leg
Correct Answer: C
Rationale: Femoral artery occlusion is a medical emergency requiring immediate notification of the PHCP for vascular intervention.