Nokea
Which dietary recommendation should the nurse provide to a client with coronary artery disease?
- A. Eat foods high in saturated fats.
- B. Limit intake of fruits and vegetables.
- C. Choose lean proteins and whole grains.
- D. Increase consumption of sugary drinks.
Correct Answer: C
Rationale: Lean proteins and whole grains reduce cholesterol and improve heart health.
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The client is admitted for surgical repair of an 8-cm abdominal aortic aneurysm (AAA). Which sign/symptom would make the nurse suspect the client has an expanding AAA?
- A. Complaints of low back pain.
- B. Weakened radial pulses.
- C. Decreased urine output.
- D. Increased abdominal girth.
Correct Answer: A
Rationale: Low back pain (A) suggests AAA expansion or rupture, a critical sign. Radial pulses (B) are unaffected, low urine (C) is a late sign, and girth (D) is less specific.
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.
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.
Which instruction should the nurse provide to a client with endocarditis?
- A. Take antibiotics exactly as prescribed.
- B. Increase dietary sodium intake.
- C. Avoid dental checkups.
- D. Resume heavy lifting in 2 weeks.
Correct Answer: A
Rationale: Adhering to antibiotic therapy is critical to eradicate the infection in endocarditis.
Which discharge instruction should the nurse teach the client diagnosed with varicose veins who has received sclerotherapy?
- A. Walk 15 to 20 minutes three (3) times a day.
- B. Keep the legs in the dependent position when sitting.
- C. Remove compression bandages before going to bed.
- D. Perform Buerger-Allen exercises four (4) times a day.
Correct Answer: A
Rationale: Walking 15–20 minutes 3×/day (A) promotes venous return post-sclerotherapy. Dependent position (B) worsens pooling, bandages (C) stay on, and Buerger-Allen (D) is for arterial disease.