Test Bank NSG 210 Caring for Clients With Disorders of Coronary Questions &Answers & Rationale,100% CORRECT
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NSG 210
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NSG 210
Test Bank NSG 210 Caring for Clients With Disorders of Coronary Questions &Answers & Rationale
1. You are caring for a client with coronary artery disease (CAD). What is an appropriate nursing action when evaluating a client with CAD?
A) Assess the client's mental and emotional status.
B) Assess...
test bank nsg 210 caring for clients with disorders of coronary questions ampanswers amp rationale
1 you are caring for a client with coronary artery disease cad what is an appropriate nursing
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Test Bank NSG 210 Caring for Clients With Disorders of Coronary
Questions &Answers & Rationale
1. You are caring for a client with coronary artery disease (CAD).
What is an appropriate nursing action when evaluating a client with CAD?
A) Assess the client's mental and emotional status.
B) Assess the skin of the client.
C) Assess the characteristics of chest pain.
D) Assess for any kind of drug abuse.
Ans: C
Feedback:
The nurse should assess the characteristics of chest pain for a client with
CAD. Assessing the client's mental and emotional status, skin, or for drug
abuse will not assist the nurse in evaluating the client for CAD. The
assessment should be aimed at evaluating for adequate blood flow to the
heart.
2. The nurse is caring for a client with Raynaud's disease. What is an
important instruction for a client who is diagnosed with this disease to
prevent an attack?
A) Report changes in the usual pattern of chest pain.
B) Avoid situations that contribute to ischemic episodes.
C) Avoid fatty foods and exercise.
D) Take over-the-counter decongestants.
Ans: B
Feedback:
Teaching for clients with Raynaud's disease and their family members is
important. They need to understand what contributes to an attack. The nurse
should instruct the clients to avoid situations that contribute to ischemic
episodes. Reporting changes in the usual pattern of chest pain or avoiding
fatty foods and exercise does not help the client to avoid an attack; it is more
contributory for clients with CAD. In addition, the nurse advises clients to
avoid over-the-counter decongestants.
3. You are caring for a client at risk for thrombosis. What is an
appropriate nursing action when evaluating this client?
A) Examine the client's mental and emotional status.
B) Examine the legs for color, capillary refill time, and tissue integrity.
C) Examine for pain around the shoulder and neck region.
D) Examine the extremities for skin lesions.
Page 1
,Ans: B
Feedback:
The nurse examines the extremities and assesses skin color, temperature,
capillary refill time, and tissue integrity and not for skin lesions for clients
with thrombosis. Examining the client's mental and emotional status or
examining for pain around the shoulder and neck region will not assist the
nurse in evaluating a client with thrombosis.
4.A client has had oral anticoagulation ordered. What should you monitor for
when your client is taking oral anticoagulation?
Page 2
, A) Prothrombin time (PT) or international normalized ratio (INR)
B) Hourly IV infusion
C) Vascular sites for bleeding
D) Urine output
Ans: A
Feedback:
The nurse should monitor PT or INR when oral anticoagulation is
prescribed. Vascular sites for bleeding, urine output, and hourly IV infusions
are generally monitored in all clients.
5. The
nurse is working with a client who has just been diagnosed with an
aneurysm. What advice should the nurse provide to this client?
A) Minimize bowel movements and coughing.
B) Avoid situations that contribute to ischemic episodes.
C) Avoid straining during bowel movements and coughing.
D) Wear wool socks and mittens during cold
weather. Ans: C
Feedback:
The nurse advises the client with an aneurysm to avoid straining during
bowel movements and coughing. Coughing and straining increase the risk of
rupture. The client with Raynaud's disease is asked to avoid situations that
contribute to ischemic episodes and to wear wool socks and mittens during
cold weather.
6. You
are presenting a workshop at the senior citizens center about how
the changes of aging predispose clients to vascular occlusive disorders.
What would you name as the most common cause of peripheral arterial
problems in the older adult?
A) Arteriosclerosis
B) Coronary thrombosis
C) Atherosclerosis
D) Raynaud's disease
Ans: C
Feedback:
Atherosclerosis is the most common cause of peripheral arterial problems in
the older adult. The disease correlates with the aging process. The other
choices may occur at any age.
Page 3
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