A client is admitted with abdominal aortic aneurysm. For which of the following complications should the nurse be concerned?
1. Hypotension
2. Cardiac arrhythmias
3. Aneurysm rupture
4. Loss of bowel sounds
Question 2The nurse is assessing a client diagnosed with an abdominal aortic aneurysm. Which of the following sounds did the nurse auscultate during the assessment?
1. Pleural rub
2. Hyperactive bowel sounds
3. Crackles
4. Bruit
Question 3A client diagnosed with type 2 diabetes mellitus is prescribed acarbose (Precose). Which of the following is an indication that this medication is effective?
1. Lower blood glucose level after a meal
2. Higher blood glucose level in the morning
3. Higher blood glucose level after a meal
4. Increase in urine output
Question 4When a client is brought from the surgical suite to the postanesthesia care unit, the nurse will conduct a rapid head-to-toe visual assessment. Which of the following statuses will be assessed during the initial assessment? (Select all that apply.)
1. Surgical site
2. Vital signs
3. Respiratory stability
4. Circulatory stability
5. Range of motion of lower extremities
6. Bowel sounds
Question 5The nurse is instructing a postoperative client regarding signs of complications. Which of the following should be included in these instructions?
1. Notify the physician with a body temperature greater than 99F.
2. Expect the pain level to increase.
3. Report a change in drainage or increase in bleeding.
4. Dizziness and fainting is an expected side effect of anesthesia.
Question 6A client diagnosed with arteriosclerosis is prescribed an anticoagulant. For which of the following should the nurse assess in this client?
1. Respiratory distress
2. Skin breakdown
3. Decreased urine output
4. Bruising and bleeding
Question 7The nurse is instructing a client diagnosed with diabetes mellitus on the side effects of insulin therapy. Which of the following should the nurse instruct as being the most serious side effect of this medication?
1. Extreme thirst
2. Increased urine output
3. Low blood sugar
4. Dry mucous membranes
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