Nokea
The nurse is teaching the client about risk factors for arterial disorders. Which modifiable risk factor should the nurse emphasize?
- A. Age over 60 years
- B. Family history of heart disease
- C. Smoking cigarettes
- D. Male gender
Correct Answer: C
Rationale: Smoking is a modifiable risk factor that significantly contributes to arterial disorders by causing vasoconstriction and endothelial damage.
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Which complication of uncontrolled hypertension should the nurse include in client teaching? Select all that apply.
- A. Stroke
- B. Kidney failure
- C. Heart attack
- D. Liver cirrhosis
- E. Vision loss
- F. Peripheral neuropathy
Correct Answer: A,B,C,E
Rationale: Uncontrolled hypertension can damage blood vessels, leading to stroke, kidney failure, heart attack, and vision loss.
Which complication should the nurse monitor for in a client with valvular heart disease?
- A. Pulmonary embolism
- B. Heart failure
- C. Liver failure
- D. Pneumonia
Correct Answer: B
Rationale: Valvular heart disease can lead to heart failure due to increased cardiac workload and impaired pump function.
The nurse is completing a neurovascular assessment on the client with chronic venous insufficiency. What should be included in this assessment? Select all that apply.
- A. Assess for paresthesia.
- B. Assess for pedal pulses.
- C. Assess for paralysis.
- D. Assess for pallor.
- E. Assess for polar (temperature).
Correct Answer: A,B
Rationale: Paresthesia (A) and pedal pulses (B) assess neurovascular status in venous insufficiency. Paralysis (C) and pallor (D) are arterial, and polar/temperature (E) is assessed but not primary.
The nurse is monitoring a client with atrial fibrillation. Which finding is most concerning?
- A. Heart rate of 110 beats per minute
- B. Blood pressure of 140/90 mmHg
- C. Dizziness and shortness of breath
- D. Oxygen saturation of 95%
Correct Answer: C
Rationale: Dizziness and shortness of breath suggest hemodynamic instability, which is concerning in atrial fibrillation.
The client with aortic stenosis asks why they feel tired. What is the best response?
- A. Your heart is not pumping enough blood.
- B. Your lungs are retaining fluid.
- C. Your blood pressure is too high.
- D. Your heart rate is too slow.
Correct Answer: A
Rationale: Aortic stenosis restricts blood flow from the heart, reducing cardiac output and causing fatigue.