A female client calls the nurse at the clinic and reports that ever
since the vein ligation and stripping procedure was performed,
she has been experiencing a sensation as though the affected
leg is falling asleep. The nurse should make which response to
the client?
1, "Apply warm packs to the leg."
2."Keep the leg elevated as much as possible."
3."Contact your health care provider right away to report this
problem."
4."This normally occurs after surgery and will subside when the
edema goes down."
Answer:3."Contact your health care provider right away to
report this problem."
Rationale:
An ambulatory care nurse measures the blood pressure of a
client and finds it to be 156/94 mm Hg. Which statement
indicates the client needs additional education?
1."It is important that I limit protein intake."
2."I need to maintain a regular exercise program."
, 3."I understand that I need to avoid adding salt to foods."
4."It is important that I begin reducing and then maintaining
weight."
Answer:1."It is important that I limit protein intake."
A nurse identifies that a client is having occasional premature
ventricular contractions (PVCs) on the cardiac monitor. The
nurse reviews the client's laboratory results and determines that
which result would be consistent with the observation?
1.Serum sodium level of 145 mEq/L
2.Serum chloride level of 98 mEq/L
3.Serum calcium level of 10 mg/dL
4.Serum potassium level of 2.8 mEq/L
Answer:4.Serum potassium level of 2.8 mEq/L
A client's total cholesterol level is 344 mg/dL, low-density
lipoprotein cholesterol (LDL-C) level is 164 mg/dL, and high-
density lipoprotein cholesterol (HDL-C) level is 30 mg/dL.
Based on analysis of the data, how should the nurse direct
client teaching?
1.The client should maintain the current dietary regimen but
increase activity level.
2.Results are inconclusive unless the triglyceride level is also
screened, so teaching is not indicated at this time.
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