A client is taking warfarin (Coumadin) and asks the nurse if taking St. John's wort is acceptable. What response by the nurse is best?
a. No, it may interfere with the warfarin.
b. There isn't any information about that.
c. Why would you want to take that?
d. Yes, it is a good supplement for you.
Question 2An older client with peripheral vascular disease (PVD) is explaining the daily foot care regimen to the family practice clinic nurse. What statement by the client may indicate a barrier to proper foot care?
a. I nearly always wear comfy sweatpants and house shoes.
b. I'm glad I get energy assistance so my house isn't so cold.
c. My daughter makes sure I have plenty of lotion for my feet.
d. My hands shake when I try to do things requiring coordination.
Question 3A nurse is assessing a client with peripheral artery disease (PAD). The client states walking five blocks is possible without pain. What question asked next by the nurse will give the best information?
a. Could you walk further than that a few months ago?
b. Do you walk mostly uphill, downhill, or on flat surfaces?
c. Have you ever considered swimming instead of walking?
d. How much pain medication do you take each day?
Question 4The nurse is caring for four hypertensive clients. Which drug-laboratory value combination should the nurse report immediately to the health care provider?
a. Furosemide (Lasix)/potassium: 2.1 mEq/L
b. Hydrochlorothiazide (Hydrodiuril)/potassium: 4.2 mEq/L
c. Spironolactone (Aldactone)/potassium: 5.1 mEq/L
d. Torsemide (Demadex)/sodium: 142 mEq/L
Question 5A client has hypertension and high risk factors for cardiovascular disease. The client is overwhelmed with the recommended lifestyle changes. What action by the nurse is best?
a. Assess the client's support system.
b. Assist in finding one change the client can control.
c. Determine what stressors the client faces in daily life.
d. Inquire about delegating some of the client's obligations.
Question 6A nurse is interested in providing community education and screening on hypertension. In order to reach a priority population, to what target audience should the nurse provide this service?
a. African-American churches
b. Asian-American groceries
c. High school sports camps
d. Women's health clinics