NUR 215 EXAM 2 NEWEST EXAM | QUESTIONS
AND ANSWERS | GRADED A+ | LATEST
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Which data, if assessed on a client, would be the most indicative of
peripheral arterial disease? Select all that apply.
1. absence of hair on the big toe bilaterally
2. bilateral brown pigmentation around the ankles
3. pain that decreased with elevation of lower extremities
4. weak dorsalis pedal pulses bilaterally
5. lower extremities cool bilaterally ---------CORRECT ANSWER---------------
--1, 4, & 5
Which, data is assessed on a client, would be the most indicative of
peripheral venous disease? Select all that apply.
1. absence of hair on the big toe bilaterally
2. bilateral brown pigmentation around the ankles
3. pain that decreased with elevation of lower extremities
4. weak dorsalis pedal pulses bilaterally
5. lower extremities cool bilaterally ---------CORRECT ANSWER---------------
--2 & 3
Which anatomical position would be most accurate for the nurse to use
when assessing the dorsalis pedis pulse?
1. behind the knee
2. over the lateral malleolus
3. in the groove behind the medial malleolus
4. lateral to the extensor tendon of the great toe ---------CORRECT
ANSWER-----------------4
,A client reports the new onset of pain in the left calf after climbing
approximately 10 stairs that is relieved after sitting for 2 minutes. What is
the best term for the RN to document his finding as?
1. intermittent claudication
2. DVT
3. Raynaud's pnenomenon
4. Lymphedema ---------CORRECT ANSWER-----------------1
Which principle(s) are most important to incorporate when completing a
peripheral vascular assessment of the upper and lower extremities? Select
all that apply.
1. look for symmetry bilaterally
2. palpate and grade pulses
3. omit palpation of the lymph nodes
4. utilize Homan's sign to rule out DVT
5. Assess for sensory and motor function ---------CORRECT ANSWER-------
----------1, 2, & 5
A nurse at a clinic is collecting data about pain from a client who reports
severe abdominal pain. the nurse asks the client whether he has nausea
and has been vomiting. which of the following pain characteristics is the
nurse attempting to determine?
a. presence of associated manifestations
b. location of the pain
c. pain quality
d. aggravating and relieving factors ---------CORRECT ANSWER--------------
---a. presence of associate manifestations
A nurse is collecting data from a client who is reporting pain despite taking
analgesia. which of the following actions should the nurse take to
determine the intensity of the client's pain?
a. ask the client what precipitates the pain
,b. question the client about the location of the pain
c. offer the client a pain scale to measure his pain
d. use open- ended questions to identify the client's pain sensations ---------
CORRECT ANSWER-----------------c. offer the client a pain scale to
measure his pain
A nurse is discussing the care of a group of clients with a newly licensed
nurse. which of the following clients should the newly licensed nurse
identify has experiencing chronic pain?
a. a client who has a broken femur and reports hip pain
b. a client who has incisional pain 72 hr following pacemaker insertion
c.a client who has food poisoning and reports abdominal cramping
d. a client who has episodic back pain following a fall 2 years ago ---------
CORRECT ANSWER-----------------d. a client who has episodic back pain
following a fall 2 years ago
A nurse is monitoring a client who is receiving opioid analgesia for adverse
effects of the medication. which of the following effects should the nurse
anticipate? select all that apply
a. urinary incontinence
b. diarrhea
c. bradypnea
d. orthostatic hypotension
e. nausea ---------CORRECT ANSWER-----------------c. bradypnea
d. orthostatic hypotension
e. nausea
A nurse is caring for a client who is receiving morphine via a Patient
controlled analgesia infusion device after abdominal surgery. which of the
following statements indicates that the client knows how to use the device?
a. i'll wait to use the device until it's absolutely necessary
, b. i'll be careful about pushing the button too much so i don't get an
overdose
c. i should tell the nurse if the pain does't stop while i am using the device
d. i will ask my adult child to push the dose button when i am sleeping -------
--CORRECT ANSWER-----------------c. i should tell the nurse if the pain
does't stop while i am using the device
A nurse is caring for a client scheduled for abdominal surgery. The client
reports being worried. Which of the following actions should the nurse
take?
a. Offer information on a relaxation technique and ask the client if he is
interested in trying it.
b. Request a social worker to see the client to discuss meditation.
c. Attempt to use biofeedback techniques with the client
d. Tell the client many people feel the same way before surgery and to
think of something else ---------CORRECT ANSWER-----------------a. Offer
information on a relaxation technique and ask the client if he is interested in
trying it.
A nurse is assessing a client as part of an admission history. The client
reports drinking an herbal tea every afternoon at work to relieve stress. The
nurse should suspect the tea includes which of the following ingredients?
a. Chamomile
b. Ginseng
c. Ginger
d. Echinacea ---------CORRECT ANSWER-----------------a. chamomile
A nurse is reviewing complementary and alternative therapies with a group
of nursing students. The nurse should classify which of the following
interventions as a mind-body therapy? (Select all that apply.)
a. Art therapy
b. Acupressure
c. Yoga
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