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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.
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The male client diagnosed with essential hypertension has been prescribed an alpha-adrenergic blocker. Which intervention should the nurse discuss with the client?
- A. Eat at least one (1) banana a day to help increase the potassium level.
- B. Explain that impotence is an expected side effect of the medication.
- C. Take the medication on an empty stomach to increase absorption.
- D. Change position slowly when going from a lying to sitting position.
Correct Answer: D
Rationale: Alpha blockers cause orthostatic hypotension; changing positions slowly (D) prevents falls. Bananas (A) are unrelated, impotence (B) is possible but not expected, and empty stomach (C) is not required.
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.
Which complication should the nurse monitor for in a client with cardiomyopathy?
- A. Heart failure
- B. Hypoglycemia
- C. Osteoporosis
- D. Gastritis
Correct Answer: A
Rationale: Cardiomyopathy impairs heart function, increasing the risk of heart failure.
Which teaching point should the nurse include for a client with endocarditis? Select all that apply.
- A. Report fever or chills immediately.
- B. Brush teeth gently to avoid gum bleeding.
- C. Avoid sharing toothbrushes.
- D. Take antibiotics for the full course.
- E. Monitor for signs of heart failure.
- F. Limit physical activity during treatment.
Correct Answer: A,B,C,D,E,F
Rationale: Reporting symptoms, gentle oral hygiene, avoiding shared items, completing antibiotics, monitoring heart failure, and limiting activity prevent complications.
The wife of a client with arterial occlusive disease tells the nurse, 'My husband says he is having rest pain. What does that mean?' Which statement by the nurse would be most appropriate?
- A. It describes the type of pain he has when he stops walking.'
- B. His legs are deprived of oxygen during periods of inactivity.'
- C. You are concerned that your husband is having rest pain.'
- D. This term is used to support that his condition is getting better.'
Correct Answer: B
Rationale: Rest pain (B) occurs in severe PAD due to inadequate oxygen supply at rest. Pain when stopping (A) is claudication, concern (C) avoids the question, and improvement (D) is incorrect (rest pain indicates worsening).