Nokea
Which signs/symptoms would the nurse expect to find when assessing a client diagnosed with subclavian steal syndrome?
- A. Complaints of arm tiredness with exertion.
- B. Complaints of shortness of breath while resting.
- C. Jugular vein distention when sitting at a 35-degree angle.
- D. Dilated blood vessels above the nipple line.
Correct Answer: A
Rationale: Subclavian steal syndrome causes arm ischemia due to subclavian artery occlusion, leading to arm tiredness with exertion (A). Shortness of breath (B), JVD (C), and dilated vessels (D) are not typical.
You may also like to solve these questions
Which assessment data would the nurse expect to find in the client diagnosed with chronic venous insufficiency?
- A. Decreased pedal pulses.
- B. Cool skin temperature.
- C. Intermittent claudication.
- D. Brown discolored skin.
Correct Answer: D
Rationale: Brown discoloration (D) results from hemosiderin deposits in venous insufficiency. Decreased pulses (A) and claudication (C) are arterial, and cool skin (B) is not typical (skin is often warm).
Which teaching point should the nurse include for a client with coronary artery disease? Select all that apply.
- A. Exercise regularly as tolerated.
- B. Avoid all fats in the diet.
- C. Manage stress effectively.
- D. Take medications as prescribed.
- E. Monitor for chest pain.
- F. Limit physical activity.
Correct Answer: A,C,D,E
Rationale: Regular exercise, stress management, medication adherence, and monitoring for chest pain reduce complications in coronary artery disease.
The client with coronary artery disease asks why they need a stress test. What is the best response?
- A. It checks for blood clots in your heart.
- B. It evaluates how your heart works under stress.
- C. It measures your cholesterol levels.
- D. It monitors your blood pressure.
Correct Answer: B
Rationale: A stress test assesses heart function during physical stress to detect ischemia or blockages.
The nurse is assessing a client with endocarditis. Which finding is most concerning?
- A. Fever of 102°F
- B. Mild fatigue
- C. Heart rate of 90 beats per minute
- D. Blood pressure of 130/85 mmHg
Correct Answer: A
Rationale: Fever is a hallmark of endocarditis and may indicate ongoing infection, requiring prompt attention.
Which discharge instruction should the nurse discuss with the client to prevent recurrent episodes of cellulitis?
- A. Soak your feet daily in Epsom salts for 20 minutes.
- B. Wear thick white socks when working in the yard.
- C. Use a mosquito repellent when going outside.
- D. Inspect the feet between the toes for cracks in the skin.
Correct Answer: D
Rationale: Inspecting feet for cracks (D) prevents skin breakdown, a cellulitis entry point in diabetes. Epsom salts (A) are not standard, socks (B) are less specific, and repellent (C) prevents bites but not cracks.