Nokea
Which client would be most likely to develop an abdominal aortic aneurysm?
- A. A 45-year-old female with a history of osteoporosis.
- B. An 80-year-old female with congestive heart failure.
- C. A 69-year-old male with peripheral vascular disease.
- D. A 30-year-old male with a genetic predisposition to AAA.
Correct Answer: C
Rationale: Older males with PVD (C) are at highest risk for AAA due to atherosclerosis. Osteoporosis (A), CHF (B), and young age (D) are lower risk, even with genetics.
You may also like to solve these questions
When offered the pain medication, the client says to the nurse, 'If that's Motrin, I don't want it. It makes me sick to my successful,' What is the most appropriate nursing action at this time?
- A. Tell the client that the drug is ibuprofen.
- B. Explain that the prescribed medication must be taken.
- C. Advise the client to take the drug with plenty of water.
- D. Report the information to the charge nurse.
Correct Answer: D
Rationale: Reporting the client's adverse reaction to the charge nurse ensures proper communication and potential adjustment of the medication plan.
The nurse is teaching a class on arterial essential hypertension. Which modifiable risk factors would the nurse include when preparing this presentation?
- A. Include information on retinopathy and nephropathy.
- B. Discuss sedentary lifestyle and smoking cessation.
- C. Include discussions on family history and gender.
- D. Provide information on a low-fiber and high-salt diet.
Correct Answer: B
Rationale: Modifiable risk factors for hypertension include sedentary lifestyle and smoking (B), which can be changed. Retinopathy/nephropathy (A) are complications, family history/gender (C) are non-modifiable, and low-fiber/high-salt (D) promotes hypertension.
The client with a mechanical heart valve reports a fever. What should the nurse do first?
- A. Administer acetaminophen.
- B. Notify the healthcare provider.
- C. Check the client's temperature again in 4 hours.
- D. Encourage fluid intake.
Correct Answer: B
Rationale: Fever may indicate endocarditis in a client with a mechanical valve, requiring immediate medical evaluation.
The nurse is preparing a client for a cardiac catheterization. Which pre-procedure instruction is most important?
- A. You will be sedated during the procedure.
- B. You must fast for 6-8 hours before the test.
- C. You can drive home after the procedure.
- D. You should avoid taking aspirin before the test.
Correct Answer: B
Rationale: Fasting prevents aspiration during sedation and ensures accurate test results.
When the nurse is planning the client's postoperative care, which action is the highest priority?
- A. Providing the client with protein-rich foods
- B. Ambulating the client frequently
- C. Monitoring for wound infection
- D. Assessing for frequent leg cramping
Correct Answer: C
Rationale: Monitoring for wound infection is critical post-surgery to prevent complications and ensure healing.