The nurse is instructing a client recovering from arterial aneurysm repair. Which of the following should be included in these instructions? (Select all that apply.)
1. Do not lift anything heavier than 15 to 20 lbs.
2. Limit activity for up to 8 weeks after the surgery.
3. Use a pillow to splint when coughing.
4. Driving is permitted 1 week after surgery.
5. Notify the physician for pain, redness, or swelling around the incision.
6. Avoid pain medication.
Question 2A client is observed holding a pillow over the abdominal region with both knees flexed in a side-lying position. Vital signs assessment reveals an elevated blood pressure and heart rate. Which of the following should the nurse say to this client?
1. Can I get you anything?
2. Would you like something for pain?
3. You look comfortable.
4. Your blood pressure is up.
Question 3The nurse is assessing a client diagnosed with a peripheral arterial occlusion. Which of the following will the nurse assess in this client? (Select all that apply.)
1. Pulselessness
2. Pain
3. Pallor
4. Paresthesia
5. Paralysis
6. Petechiae
Question 4The operating room personnel are applying masks and either goggles or face shields prior to beginning a surgical procedure. The purpose of these items is to:
1. facilitate vision.
2. protect against splashes or sprays of blood.
3. facilitate breathing.
4. facilitate communication.
Question 5A client, diagnosed with acute appendicitis, is experiencing abdominal pain. The best way for the nurse to describe this client's pain would be:
1. chronic.
2. neuropathic.
3. referred.
4. acute.
Question 6A client is complaining of severe abdomen pain. The nurse realizes this client is experiencing which type of pain?
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
Question 7A client is having laboratory tests conducted to confirm a diagnosis of arteriosclerosis. Which of the following laboratory values would support this client's medical diagnosis? (Select all that apply.)
1. Serum cholesterol 300 mg/dL
2. LDL 125 mg/dL
3. Blood glucose 90 mg/dL
4. HDL 45 mg/dL
5. Triglycerides 400 mg/dL
6. Serum potassium 4.0 mEq/L
Question 8Prior to the surgeon's making an incision into a client, the client's skin is bathed with a bacteriostatic solution. The nurse realizes that this solution will:
1. sterilize the client's skin.
2. disinfect the client's skin.
3. sanitize the client's skin.
4. inhibit the number of bacteria on the client's skin.
Quick Reply
