Fundamental Concepts and Skills for Nursing Test Questions

Questions 15

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Fundamental Concepts and Skills for Nursing Test Questions Questions

Question 1 of 5

The nurse is caring for a breastfeeding client recovering from a cesarean section. The physician diagnoses her with superficial venous thrombosis. Which intervention should the nurse anticipate carrying out first?

Correct Answer: C

Rationale: Superficial venous thrombosis is a condition characterized by the formation of a blood clot in a superficial vein. The initial intervention for this condition is to apply warm, moist compresses to the affected area. The warmth can help to increase blood flow and promote the resolution of the clot. It also helps to reduce pain and inflammation in the area. Encouraging ambulation, taking aspirin, or administering methylergonovine are not appropriate interventions for superficial venous thrombosis and could potentially worsen the condition or lead to complications.

Question 2 of 5

The nurse is caring for a client with hypertension. Which diagnostic tests should the nurse anticipate being ordered to rule out secondary causes? Select all that apply.

Correct Answer: A

Rationale: A. Cerebral angiogram: This diagnostic test may be ordered to assess the blood vessels in the brain and rule out potential causes of hypertension related to the central nervous system.

Question 3 of 5

The nurse is assessing the musculoskeletal status of a 70-year-old patient. What findings should the nurse consider as expected age-related changes in this body system? Select all that apply.

Correct Answer: A

Rationale: A. Decreased muscle mass: As individuals age, there is a natural decline in muscle mass known as sarcopenia. This can lead to overall decreased muscle strength and functional ability.

Question 4 of 5

The nurse is preparing a teaching session for community members on osteoporosis and osteomalacia. What should the nurse include as a potential complication for both of these health problems?

Correct Answer: B

Rationale: Fractures are a potential complication for both osteoporosis and osteomalacia. Osteoporosis is a condition characterized by low bone density and weakened bones, making individuals more susceptible to fractures, especially in areas such as the hip, spine, and wrist. Osteomalacia, on the other hand, is a condition where the bones become soft and weak due to a deficiency in vitamin D, resulting in an increased risk of fractures as well. Both conditions can significantly impact an individual's quality of life and functional ability, making fractures an important complication to address in teaching sessions on osteoporosis and osteomalacia.

Question 5 of 5

A client with disseminated intravascular coagulation (DIC) has a nursing diagnosis of Ineffective Peripheral Tissue Perfusion. Which actions interventions are appropriate for this diagnosis? Select all that apply.

Correct Answer: B

Rationale: - Elevating the client's knees on the bed or with a pillow can help improve venous return and promote circulation, ultimately enhancing peripheral tissue perfusion in a client with DIC.

Similar Questions

A client with disseminated intravascular coagulation (DIC) has a nursing diagnosis of Ineffective Peripheral Tissue Perfusion. Which actions interventions are appropriate for this diagnosis? Select all that apply.
The nurse is caring for a pregnant woman with a suspected pulmonary embolism without DVT. With regard to diagnostic tests to confirm the diagnosis what should the nurse anticipate being ordered for the client? Select all that apply.
A client with a suspected transient ischemic attack (TIA) presents to the emergency department with aphasia. Based on this data, the nurse plans care based on ischemia to which portion of the brain?
A client with peripheral vascular disease (PVD) is experiencing pain. Which nursing intervention addresses the client's pain?
The nurse is caring for an infant diagnosed with hypoplastic left heart syndrome. The client has recently been scheduled for surgery to repair the defect. Which procedure does the nurse anticipate needing to provide client teaching about to the client's family?

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