× Didn't find what you were looking for? Ask a question
Top Posters
Since Sunday
w
5
a
3
j
2
a
2
t
2
u
2
r
2
j
2
j
2
l
2
d
2
y
2
New Topic  
Vertzie Vertzie
wrote...
Posts: 354
Rep: 1 0
6 years ago
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 2

An 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 3

A 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 4

The 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 5

A 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 6

A 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
Read 117 times
3 Replies

Related Topics

Replies
wrote...
6 years ago
The answer to question 1

ANS: A
Many foods and drugs interfere with warfarin, St. John's wort being one of them. The nurse should advise the client against taking it. The other answers are not accurate.

The answer to question 2

ANS: D
Clients with PVD need to pay special attention to their feet. Toenails need to be kept short and cut straight across. The client whose hands shake may cause injury when trimming toenails. The nurse should refer this client to a podiatrist. Comfy sweatpants and house shoes are generally loose and not restrictive, which is important for clients with PVD. Keeping the house at a comfortable temperature makes it less likely the client will use alternative heat sources, such as heating pads, to stay warm. The client should keep the feet moist and soft with lotion.

The answer to question 3

ANS: A
As PAD progresses, it takes less oxygen demand to cause pain. Needing to cut down on activity to be pain free indicates the client's disease is worsening. The other questions are useful, but not as important.

The answer to question 4

ANS: A
Lasix is a loop diuretic and can cause hypokalemia. A potassium level of 2.1 mEq/L is quite low and should be reported immediately. Spironolactone is a potassium-sparing diuretic that can cause hyperkalemia. A potassium level of 5.1 mEq/L is on the high side, but it is not as critical as the low potassium with furosemide. The other two laboratory values are normal.

The answer to question 5

ANS: B
All options are appropriate when assessing stress and responses to stress. However, this client feels overwhelmed by the suggested lifestyle changes. Instead of looking at all the needed changes, the nurse should assist the client in choosing one the client feels optimistic about controlling. Once the client has mastered that change, he or she can move forward with another change. Determining support systems, daily stressors, and delegation opportunities does not directly impact the client's feelings of control.

The answer to question 6

ANS: A
African Americans in the United States have one of the highest rates of hypertension in the world. The nurse has the potential to reach this priority population by providing services at African-American churches. Although hypertension education and screening are important fo
Vertzie Author
wrote...
6 years ago
Commenting just to show my support for informative posts like this, keep it up 10/10
wrote...
6 years ago
That helps more than you thinks, thanks for being so thoughtful
New Topic      
Explore
Post your homework questions and get free online help from our incredible volunteers
  1368 People Browsing
Related Images
  
 636
  
 890
  
 238
Your Opinion
Which country would you like to visit for its food?
Votes: 262