Giddens Concepts for Nursing Practice Test Bank

Questions 14

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Giddens Concepts for Nursing Practice Test Bank Questions

Question 1 of 5

The nurse is preparing to discharge a client recovering from a pulmonary embolism (PE). Which topics should the nurse to include in the teaching session? Select all that apply.

Correct Answer: A

Rationale: A. Limit the use of over-the-counter medications: This is important because some over-the-counter medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs) and aspirin, can increase the risk of bleeding in individuals taking anticoagulants for the treatment of pulmonary embolism.

Question 2 of 5

The nurse is counseling a female client who wants to become pregnant. The client was diagnosed with heart failure 3 years ago and is currently in stage II heart failure. What information should the nurse include in her client teaching related to pregnancy and heart failure?

Correct Answer: B

Rationale: Pregnancy can put additional strain on the heart, especially in women with pre-existing heart conditions such as heart failure. Therefore, women with stage II heart failure should receive additional monitoring during pregnancy to ensure their heart function remains stable. This may include more frequent check-ups with a healthcare provider, additional tests such as echocardiograms, and potential adjustments to medications as needed to support the health of both the mother and the baby. It is important to closely monitor and manage the heart failure throughout pregnancy to reduce the risk of complications for both the mother and the unborn child.

Question 3 of 5

Following surgery, a patient has not voided for 12 hours. What assessment should the nurse make?

Correct Answer: C

Rationale: Following surgery, a patient not voiding for 12 hours raises concerns for urinary retention, especially if the patient was catheterized during the surgical procedure. With urinary retention, the bladder can become distended and palpating for bladder distention can help determine if the patient is experiencing this issue. If the bladder is distended, interventions may be needed to address the urinary retention to prevent complications such as urinary tract infection or bladder distention-related discomfort. The other assessment options (percuting for gastric tympany, auscultating for bowel sounds, inspecting for edema of the urethra) are not as relevant in assessing a patient's urinary status post-surgery.

Question 4 of 5

Which nursing intervention related to perfusion can be performed independently?

Correct Answer: C

Rationale: Teaching relaxation techniques related to perfusion can be independently performed by a nurse without requiring supervision or intervention from a healthcare provider. This nursing intervention focuses on promoting stress reduction and improving overall perfusion by enhancing circulation and decreasing the workload of the heart. The nurse can educate the patient on various relaxation techniques such as deep breathing exercises, guided imagery, progressive muscle relaxation, and meditation to help optimize perfusion levels. Additionally, teaching relaxation techniques empowers the patient to actively participate in their care and improve their overall well-being.

Question 5 of 5

A client admitted with chronic venous insufficiency has an infected wound of the left lower extremity. Which clinical manifestations does the nurse anticipate during the client's assessment? Select all that apply.

Correct Answer: A

Rationale: 1. Pulses absent in the extremity with the wound (Option A): In chronic venous insufficiency, damaged valves in the veins result in blood pooling in the lower extremities. This can lead to decreased arterial perfusion and impaired circulation, causing weakened or absent pulses in the affected extremity.

Similar Questions

A client admitted with chronic venous insufficiency has an infected wound of the left lower extremity. Which clinical manifestations does the nurse anticipate during the client's assessment? Select all that apply.
The nurse is preparing to discharge a client recovering from a pulmonary embolism (PE). Which topics should the nurse to include in the teaching session? Select all that apply.
A nurse is providing a series of educational workshops for caregivers of older clients interested in promoting the health and well-being of their clients. Which would be appropriate topics for this group? Select all that apply.
The nurse is planning care for a patient beginning hemodialysis. What should be included in this patient�s plan of care? Select all that apply.
A community health nurse is providing education to a group of adults regarding myocardial infarction (MI). When discussing ways to prevent the number of MI-related deaths, which statement by the nurse is inappropriate?

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