The nurse suspects that a patient is experiencing the effects of peripheral atherosclerosis. What did the nurse most likely assess in this patient?
1. rubor with extremity elevation
2. normal hair distribution bilaterally over lower extremities
3. peripheral pulses present bilaterally
4. complaints of leg pain upon rest
Question 2A patient's blood pressure continues to be elevated despite being prescribed an ACE inhibitor for several weeks. What should the nurse do at this time?
1. Ask if the patient is taking the prescribed medication.
2. Suggest to the physician that another medication be added.
3. Schedule the patient to have the blood pressure checked again in a week.
4. Realize the patient is anxious because of the diagnosis.
Question 3During the abdominal assessment of an elderly patient, the nurse palpates a mass in the midabdomen. What should the nurse do next?
1. Percuss the mass.
2. Ask the patient to cough.
3. Get the physician.
4. Auscultate the mass.
Question 4The nurse measures a patient's blood pressure as 144/88 mmHg. What intervention would be most appropriate for this patient?
1. Provide stress-reduction techniques.
2. Inform the physician so antihypertensive medication can be prescribed.
3. Offer the patient a glass of water.
4. Remeasure the blood pressure in a few minutes.
Question 5The nurse is completing an assessment of a patient with hypertrophic cardiomyopathy. What interventions should the nurse identify to help this patient with feelings of fatigue?
Select all that apply.
1. organizing care to allow for rest periods
2. restricting fluids and measuring abdominal girth
3. reviewing dietary restrictions for sodium intake
4. assisting with activities of daily living as needed
5. consulting with physical therapy for an activity plan
Quick Reply
