Nokea
Which activity should the nurse advise a client with a new pacemaker to avoid?
- A. Swimming in a chlorinated pool
- B. Using a microwave oven
- C. Lifting heavy objects for 6 weeks
- D. Walking for exercise
Correct Answer: C
Rationale: Avoiding heavy lifting for 6 weeks prevents dislodgement of pacemaker leads.
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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.
Which actions should the surgical scrub nurse take to prevent personally developing a DVT?
- A. Keep the legs in a dependent position and stand as still as possible.
- B. Flex the leg muscles and change the leg positions frequently.
- C. Wear white socks and shoes that have an elevated heel.
- D. Ask the surgeon to allow the nurse to take a break midway through each surgery.
Correct Answer: B
Rationale: Flexing muscles and changing positions (B) promote venous return, preventing DVT. Dependent position (A) increases risk, socks/heels (C) are irrelevant, and breaks (D) are impractical.
The client with a prosthetic valve asks why they need antibiotics before dental procedures. What is the best response?
- A. To prevent infection of the valve.
- B. To reduce bleeding during the procedure.
- C. To prevent pain during the procedure.
- D. To improve healing after the procedure.
Correct Answer: A
Rationale: Antibiotics prevent bacterial endocarditis by reducing the risk of valve infection during dental procedures.
Which client problem would be priority in a client diagnosed with arterial occlusive disease who is admitted to the hospital with a foot ulcer?
- A. Impaired skin integrity.
- B. Activity intolerance.
- C. Ineffective health maintenance.
- D. Risk for peripheral neuropathy.
Correct Answer: A
Rationale: A foot ulcer in PAD indicates impaired skin integrity (A), the priority due to infection risk. Activity intolerance (B), health maintenance (C), and neuropathy (D) are secondary.
Which assessment finding in a client with heart failure indicates pulmonary edema?
- A. Crackles in the lung bases
- B. Dry, nonproductive cough
- C. Bradycardia
- D. Warm, dry skin
Correct Answer: A
Rationale: Crackles in the lung bases indicate fluid in the alveoli, a hallmark of pulmonary edema.