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Worksheetstest review part 2
Total questions: 32
Worksheet time: 16mins
A nurse is providing discharge teaching to a client with newly diagnosed hypertension. Which of the following lifestyle modifications should the nurse recommend to reduce vasoconstriction?
Quit smoking and engage in stress-reduction techniques
Increase sodium intake to maintain fluid balance
Drink multiple caffeinated beverages daily
Avoid exercise to decrease cardiac workload
A nurse is explaining to a client the long-term effects of uncontrolled hypertension. Which statement by the nurse is correct?
“Hypertension can lead to heart attacks, strokes, and vision loss.”
“Hypertension primarily affects only your kidneys.”
“Hypertension does not damage your blood vessels if untreated.”
“Hypertension only makes your heart beat slower.”
A nurse is teaching a client prescribed warfarin (Coumadin). Which of the following activities should the client avoid?
Using a electric razor for shaving
Participating in contact sports
Brushing teeth gently with a soft toothbrush
Wearing shoes when ambulating
A nurse is preparing a client for aortic surgery. The nurse instructs the client to keep their legs flat in bed. What is the purpose of this instruction?
To reduce blood pressure
To improve wound healing
To decrease edema
To prevent blood clots
A nurse is teaching a group of patients about preventing peripheral vascular disease (PVD). Which of the following should the nurse include?
Quit smoking
Maintain blood glucose control
Exercise regularly
Avoid controlling blood pressure
A patient with hypertension asks why caffeine should be limited. The nurse should respond that caffeine:
Improves arterial dilation
Reduces heart rate
Causes constriction of arteries
Decreases cardiac workload
A nurse is assessing a client who reports calf pain after walking two blocks that subsides with rest. The nurse should identify this finding as which of the following?
Deep vein thrombosis
Intermittent claudication
Raynaud’s disease
Varicose veins
A nurse is caring for a client who reports painful color changes in their fingers when exposed to cold. Which disorder should the nurse suspect?
Raynaud’s disease
Varicose veins
Intermittent claudication
Venous insufficiency
An older adult client is at increased risk for orthostatic hypotension. Which explanation should the nurse provide for this condition?
“Your baroreceptors become less sensitive with age.”
“Your arteries lose elasticity as you get older.”
“Your heart pumps less efficiently with age.”
“Your kidneys are unable to conserve sodium.”
A nurse is preparing to administer a loop diuretic to a client with hypertension. Which precaution should the nurse take?
Avoid monitoring electrolyte levels unless symptoms occur
Instruct the client to take potassium supplements only if feeling weak
Restrict fluids and increase sodium intake
Encourage hydration and monitor potassium levels
A nurse is educating a client about medications to prevent clot formation. Which is the most common and effective antiplatelet agent?
Aspirin
Warfarin
Heparin
Clopidogrel
A nurse is assessing the legs of a client with chronic venous insufficiency. Which skin change is most likely to be observed?
Dependent rubor
Pallor on elevation
Hemosiderin staining
Dry, shiny skin
A nurse is reinforcing teaching about an Unna boot dressing for a client with venous ulcers. How often should the nurse expect the dressing to be changed?
Every 1-2 wks
Every 6 to 8 hours
Once per week only
Daily, regardless of drainage
A client taking warfarin (Coumadin) has an INR of 2.5. How should the nurse interpret this finding?
The INR is too low, increasing clot risk.
The INR is too high, increasing bleeding risk.
The INR is within the therapeutic range.
The INR is unreliable for monitoring warfarin therapy.
During a health assessment, the nurse differentiates between subjective and objective data. Which finding is an example of subjective data?
The client’s hemoglobin is 10 g/dL.
The nurse observes pallor in the extremities.
The client’s blood pressure is 160/90 mm Hg.
The client reports numbness in the toes.
A nurse is assessing a client with suspected peripheral vascular disease (PVD). Which clinical manifestations support this diagnosis?
Fever, chills, night sweats
Headache, blurred vision, nosebleeds
Dyspnea, cough, cyanosis
Numbness, tingling, intermittent claudication
A nurse is providing discharge teaching to a client with thrombophlebitis. Which instruction should the nurse include?
Elevate the legs and ambulate as tolerated
Keep the legs dependent at all times
Restrict ambulation until swelling resolves
Apply ice packs continuously to the legs
A nurse is reviewing blood pressure readings for a client. Which finding indicates stage 1 hypertension?
134/82 mm Hg
142/92 mm Hg
158/98 mm Hg
178/110 mm Hg
A nurse is teaching a client with varicose veins about self-care. Which instruction should the nurse include?
Cross legs frequently when sitting
Avoid wearing compression stockings
Elevate legs when resting
Remain standing for long periods
A client is admitted with suspected deep vein thrombosis (DVT). Which manifestation should the nurse expect?
Intermittent claudication with walking
Unilateral leg swelling and pain
Pallor and coolness of the affected limb
Brown discoloration around the ankles
A nurse is assessing a client with arterial insufficiency. Which finding is most consistent with this condition?
Dependent rubor
Brown skin discoloration
Warm skin temperature
Pitting edema
A client with hypertension has been prescribed a thiazide diuretic. Which electrolyte imbalance should the nurse monitor for?
Hyponatremia
Hyperkalemia
Hypercalcemia
Hypokalemia
A nurse is caring for a client with a history of Raynaud’s disease. Which teaching should the nurse provide?
“Avoid wearing warm socks to prevent vasoconstriction.”
“Wear gloves when going outside in cold weather.”
“Take long walks in cold weather to improve circulation.”
“Soak hands in ice water to relieve symptoms.”
A nurse is reviewing a client’s blood pressure readings. Which measurement indicates a hypertensive crisis?
138/86 mm Hg
146/94 mm Hg
164/98 mm Hg
184/120 mm Hg
A nurse is assessing a client with suspected venous insufficiency. Which symptom should the nurse expect?
Aching pain that worsens at the end of the day
Intermittent claudication with walking
Cold, pale extremities
Absent pedal pulses
A nurse is caring for a client who is prescribed antihypertensive therapy. Which instruction should the nurse give to reduce the client’s risk of falls?
Increase fluid restriction
Avoid wearing shoes indoors
Rise slowly from sitting to standing
Exercise only before bedtime
A nurse is reinforcing teaching for a client with chronic venous disease. Which statement by the client indicates understanding?
“I should avoid walking to prevent worsening my condition.”
“I will wear compression stockings during the day.”
“Crossing my legs will help improve blood flow.”
“I should keep my legs in a dependent position.”
A nurse is caring for a client with peripheral arterial disease (PAD). Which of the following should the nurse expect?
Cool, shiny skin on the lower extremities
Warm, brown discoloration around ankles
Significant pitting edema
Relief of pain with leg elevation
A nurse is providing teaching to a client prescribed antihypertensive medication. Which dietary instruction should the nurse include?
Consume a high-cholesterol diet
Avoid potassium-rich foods
Increase caffeine intake
Reduce sodium intake
A nurse is assessing a client’s risk factors for hypertension. Which finding places the client at greatest risk?
Low cholesterol diet and exercise
Smoking and high sodium intake
Limited caffeine intake
Occasional stress reduction activities
A nurse is caring for a client with a venous stasis ulcer. Which intervention is most appropriate?
Apply a moist dressing as prescribed
Elevate the head of the bed
Massage the legs to improve circulation
Keep the wound open to air
A nurse is reinforcing teaching with a client diagnosed with hypertension. Which statement by the client indicates correct understanding?
“I will take my medications even if I feel fine.”
“If my blood pressure improves, I can stop my medication.”
“I only need to take my medications when I have symptoms.”
“Once I start medication, I don’t need to change my diet.”
