A client with chronic lymphangitis of the lower extremities asks the nurse how often she should wear ...

A client with chronic lymphangitis of the lower extremities asks the nurse how often she should wear elastic stockings. The nurse should explain:
 
  1. It is only necessary to wear them if you notice an increase in swelling.
  2. You should wear them when your legs feel heavy or are painful for you.
  3. You should wear them at all times, only taking them off to bathe.
  4. It is best to wear them during your waking hours and to remove them when sleeping.

Question 2

The nurse learns that a client with sepsis has developed disseminated intravascular coagulation (DIC). The nurse should plan to:
 
  1. Check peripheral pulses and capillary refill frequently.
  2. Restrict fluid intake to prevent vascular fluid overload.
  3. Keep the client in a low Fowler's position to promote venous return.
  4. Encourage frequent ambulation in the hallway.

Question 3

A client with hemophilia A is being prepared to receive a transfusion of clotting factors, and expresses concern about contracting HIV from the transfusion. The best explanation the nurse can provide is:
 
  1. You won't be receiving whole blood, so you shouldn't worry about HIV contamination.
  2. That certainly is always a concern. You can refuse the treatment if you prefer.
  3. Rigorous screening of donors and treatment of donated blood have significantly reduced the risk.
  4. The blood that is donated is screened, so you should not worry.

Question 4

When making morning rounds, a client with acute leukemia reports having nosebleeds off and on throughout the night. Which action should be taken by the nurse?
 
  1. Check the client's blood pressure and pulse.
  2. Determine whether client has pain anywhere.
  3. Report the findings to the physician.
  4. Apply a water-soluble lubricant to the nares.

Question 5

A client with secondary polycythemia being seen in the clinic informs the nurse he will be taking a long flight overseas in the near future. The nurse should remind the client:
 
  1. That he should start taking an antibiotic 1 week before leaving.
  2. That he will need supplemental oxygen when at a higher altitude.
  3. To be sure to wear support stockings during the flight.
  4. To restrict intake of high-protein foods the day of the flight.

Question 6

A client with multiple myeloma has been started on filgrastim (Neupogen) for treatment of neutropenia. The nurse identifies the drug is being effective when:
 
  1. The client no longer has bone pain.
  2. The client is no longer hypotensive.
  3. An increase in the white blood cell count occurs.
  4. The hemoglobin level is within normal limits.

Question 7

The nurse is assessing a client with chronic iron deficiency anemia. What finding should the nurse expect during this assessment?
 
  1. Cheilosis
  2. Petechiae
  3. Jaundice
  4. Clubbing of the fingernails