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The nurse is taking a health history of a new patient. The patient reports experiencing pain in his left lower leg and foot when walking. This pain is relieved with rest. The nurse notes that the left lower leg is slightly edematous and is hairless. When planning this patient's subsequent care, the nurse should most likely address what health problem? -Coronary artery disease (CAD) -Intermittent claudication -Arterial embolus -Raynaud's disease - ANSWERSAnswer: Intermittent Claudi...

Dyspnea - ANSWERSsubjective feeling of difficult or labored breathing, breathlessness, SOB. Can be related to decreased lung compliance or increased airway resistance. Tachypnea - ANSWERSAbnormally rapid respirations. Hypoxemia - ANSWERSLow blood oxygen level. Orthopnea - ANSWERSinability to breathe easily except on an upright position. Noisy Breathing is caused by: - ANSWERSNarrowing of the airway or localized obstruction of a major bronchus by a tumor or foreign body. Stridor - ...

A female client has been experiencing recurrent urinary tract infections. What health education should the nurse provide to this client? A. Bathe daily and keep the perineal region clean. B. Avoid voiding immediately after sexual intercourse. C. Drink liberal amounts of fluids. D. Void at least every 6 to 8 hours. - ANSWERSANS: C Rationale: The client is encouraged to drink liberal amounts of fluids (water is the best choice) to increase urine production and flow, which flushes the bacteria...

A nurse is caring for a patient who has had a plaster arm cast applied. Immediately postapplication, the nurse should provide what teaching to the patient? A) The cast will feel cool to touch for the first 30 minutes. B) The cast should be wrapped snuggly with a towel until the patient gets home. C) The cast should be supported on a board while drying. D) The cast will only have full strength when dry. - ANSWERSThe cast will only have full strength when dry. A patient broke his arm in a ...

1. The public health nurse is presenting a health-promotion class to a group at a local community center. Which intervention most directly addresses the leading cause of cancer deaths in North America? A) Monthly self-breast exams B) Smoking cessation C) Annual colonoscopies D) Monthly testicular exams - ANSWERSAns:B Cancer is second only to cardiovascular disease as a leading cause of death in the United States. Although the numbers of cancer deaths have decreased slightly, more than 570,...

A patient is participating in aural rehabilitation. The nurse understands that this type of training emphasizes which of the following? Social skills Listening skills Occupational skills Functional skills - ANSWERSListening skills Explanation: Auditory training emphasizes listening skills, so the person who is hearing-impaired concentrates on the speaker. Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th ed., Philadelphia, Wo...

The nurse notes that a patient has developed a cough productive for mucoid sputum, is short of breath, has cyanotic hands, and has noisy, moistsounding, rapid breathing. These symptoms and signs are suggestive of what health problem? Pericarditis Cardiomyopathy Pulmonary edema Right ventricular hypertrophy - ANSWERSPericarditis Cardiomyopathy Pulmonary edema*** Right ventricular hypertrophy Feedback: As a result of decreased cerebral oxygenation, the patient with pulmonary ede...

SA Node - ANSWERSthe pace-maker of the heart; where the impulse conduction of the heart usually starts; located in the top of the right atrium just below superior vena cava AV Node - ANSWERSsecondary pacemaker of the heart, located in the right atrial wall near the tricuspid valve Repolarization - ANSWERSTime which the cells rest in response to K+ moving in and Na- moving out Depolarization - ANSWERSExcitatory phase when contraction of the heart occurs from Na- moving in and K+ moving o...

The nurse is preparing to administer furosemide to a client with severe heart failure. What lab study should be of most concern for this client while taking furosemide? -Potassium level of 3.1 -BNP of 100 -Sodium level of 135 -Hemoglobin of 12 - ANSWERSPotassium level of 3.1 Explanation: Severe heart failure usually requires a loop diuretic such as furosemide (Lasix). These drugs increase sodium and therefore water excretion, but they also increase potassium excretion. If a client bec...

D (Feedback: The patient may have biliary colic with excruciating upper right abdominal pain that radiates to the back or right shoulder. Pain from cholecystitis does not typically radiate to the left upper chest, inguinal area, neck, or jaw.) - ANSWERSA nurse is assessing a patient who has been diagnosed with cholecystitis, and is experiencing localized abdominal pain. When assessing the characteristics of the patient's pain, the nurse should anticipate that it may radiate to what region...