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 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?

Correct Answer: A

Rationale: The Norwood procedure is a surgical technique used to treat hypoplastic left heart syndrome, a congenital heart defect where the left side of the heart is underdeveloped. In this procedure, the surgeon creates a new functional aorta and reconstructs the right ventricle to take over pumping blood to both the lungs and the body. This procedure is typically performed in 3 stages, with the first stage usually done in the first week of life. Providing client teaching about the Norwood procedure is important for the family to understand the surgery, postoperative care, and potential complications. It helps prepare them for what to expect and how to best support their infant through the surgical and recovery process.

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

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.

Question 4 of 5

A client with peripheral vascular disease (PVD) is experiencing pain. Which nursing intervention addresses the client's pain?

Correct Answer: B

Rationale: Keeping the extremities warm (Choice B) is the appropriate nursing intervention for a client with peripheral vascular disease (PVD) experiencing pain. Maintaining warmth helps promote vasodilation and improve blood flow to the affected areas, reducing pain and discomfort. Cold temperatures can exacerbate vasoconstriction and worsen symptoms in individuals with PVD. Elevating the legs in bed (Choice A) may be beneficial in some cases to improve circulation, but in the context of pain management for PVD, keeping the extremities warm is more pertinent. Encouraging ambulation (Choice C) can also help improve circulation, but it may not be suitable during episodes of pain. Applying cool compresses (Choice D) is contraindicated for PVD-related pain as it can further exacerbate vasoconstriction and discomfort.

Question 5 of 5

A patient is experiencing frequent large, fatty, foul-smelling stools. What additional information should the nurse obtain from the patient?

Correct Answer: B

Rationale: By obtaining information on the relationship of episodes to particular foods, the nurse can assess for potential food allergies or intolerances that may be causing the patient's symptoms. Certain foods high in fat or certain food intolerances can lead to large, fatty, foul-smelling stools. Identifying any offending foods can help the patient make dietary changes to improve their symptoms. Additionally, other conditions such as malabsorption syndromes or pancreatic insufficiency could be contributing to the patient's symptoms, making it important to explore the relationship with certain foods.

Similar Questions

A patient is experiencing frequent large, fatty, foul-smelling stools. What additional information should the nurse obtain from the patient?
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?
The nurse is conducting a class for a group of pregnant clients and wants to focus specifically on the risks of alcohol consumption for the developing fetus. Which topic should the nurse include with regard to safety of the fetus?
The nurse identifies the diagnosis of Excess Fluid Volume as appropriate for a client with cardiomyopathy. Which interventions should the nurse emphasize when planning this client's care? Select all that apply.
A nurse is preparing to discharge a client who experienced a myocardial infarction. The client will have to make many lifestyle changes, and the nurse is providing instruction on how to implement a heart-healthy lifestyle. Which is the best description of the client education the nurse is presenting to this client?

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