Nokea
Which instruction should the nurse provide to a client with hypertrophic cardiomyopathy?
- A. Engage in competitive sports.
- B. Avoid dehydration.
- C. Take ibuprofen for chest pain.
- D. Limit sleep to 6 hours nightly.
Correct Answer: B
Rationale: Dehydration can exacerbate symptoms in hypertrophic cardiomyopathy by reducing preload.
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Which should the nurse include in the plan of care for a client diagnosed with venous stasis ulcers? Select all that apply.
- A. Elevate the legs while sitting.
- B. Wear antiembolism compression stockings.
- C. Avoid injury to the lower limbs.
- D. Trim the toenails straight across.
- E. Do not apply moisturizer to the lower legs.
- F. Allow the legs to hang over the bed in a dependent position.
Correct Answer: A,B,C,D
Rationale: Leg elevation (A), compression stockings (B), injury avoidance (C), and straight toenail trimming (D) manage venous ulcers. Moisturizer (E) is beneficial, and dependent position (F) worsens edema.
Which assessment finding would indicate to the nurse that the client is experiencing an arterial disorder?
- A. Leg pain that worsens with exercise
- B. Swelling in the ankles at the end of the day
- C. Dark, crusty skin on the lower legs
- D. Numbness in the feet when lying down
Correct Answer: A
Rationale: Arterial disorders, such as peripheral artery disease, often cause claudication, which is leg pain that worsens with exercise due to inadequate blood flow.
Which assessment data would warrant immediate intervention in the client diagnosed with arterial occlusive disease?
- A. The client has 2+ pedal pulses.
- B. The client is able to move the toes.
- C. The client has numbness and tingling.
- D. The client’s feet are red when standing.
Correct Answer: C
Rationale: Numbness and tingling (C) suggest worsening ischemia or nerve compression, requiring immediate intervention. 2+ pulses (A) and toe movement (B) are normal, and red feet (D) may indicate dependent rubor, less urgent.
The client with endocarditis asks why they need IV antibiotics. What is the best response?
- A. They work faster than oral antibiotics.
- B. They are cheaper than oral forms.
- C. They prevent stomach upset.
- D. They are easier to take.
Correct Answer: A
Rationale: IV antibiotics achieve higher blood levels to effectively treat the infection in endocarditis.
Which risk factor revealed in the client's health history is most closely related to the development of varicose veins?
- A. The client's mother also has varicose veins.
- B. The client was a track athlete in high school.
- C. The client is a 50-year-old corporate executive.
- D. The client smokes one pack of cigarettes daily.
Correct Answer: A
Rationale: Varicose veins have a strong genetic component, so a family history, such as the client's mother having varicose veins, is a significant risk factor.