Varicose veins can cause changes in what component of Virchow’s triad? A. Blood coagulability B. Vessel walls C. Blood flow D. Blood viscosity Correct Answer: C. Blood flow Venous stasis is more likely to occur in patients with atrial fibrillation, valvular heart disease: prolonged immobility such as… Read More »
Which technique is considered the gold standard for diagnosing DVT? A. Ultrasound imaging B. Venography C. MRI D. Doppler flow study Correct Answer: B. Venography Proximal leg vein ultrasound, which when positive, indicates that the patient should be treated as having a DVT. If a patient scores… Read More »
A nurse is assessing a client with an abdominal aortic aneurysm. Which of the following assessment findings by the nurse is probably unrelated to an aneurysm? A. Pulsatile abdominal mass. B. Hyperactive bowel sounds in that area. C. Systolic bruit over the area of the mass. D. Subjective sensation of “heart… Read More »
A nurse is preparing to ambulate a client on the 3rd day after cardiac surgery. The nurse would plan to do which of the following to enable the client to best tolerate the ambulation? A. Encourage the client to cough and deep breathe. B. Premedicate the client with an analgesic. C. Provide the client… Read More »
A nurse is caring for a client who had a percutaneous insertion of an inferior vena cava filter and was on heparin therapy before surgery. The nurse would inspect the surgical site most closely for signs of: A. Thrombosis and infection B. Bleeding and infection C. Bleeding and wound dehiscence. D.… Read More »
A 68-year-old woman is scheduled to undergo mitral valve replacement for severe mitral stenosis and mitral regurgitation. Although the diagnosis was made during childhood, she did not have any symptoms until 4 years ago. Recently, she noticed increased symptoms, despite daily doses of digoxin and furosemide. During the initial interview with the nice lady, the… Read More »
Which of the following signs and symptoms would most likely be found in a client with mitral regurgitation? A. Exertional dyspnea B. Confusion C. Elevated creatine phosphokinase concentration D. Chest pain Correct Answer: A. Exertional dyspnea Weight gain, due to fluid retention and worsening heart failure, causes exertional dyspnea… Read More »
The nurse expects that a client with mitral stenosis would demonstrate symptoms associated with congestion in the: A. Aorta B. Right atrium C. Superior vena cava D. Pulmonary circulation Correct Answer: D. Pulmonary circulation When mitral stenosis is present, the left atrium has difficulty emptying its contents… Read More »
Because a client has mitral stenosis and is a prospective valve recipient, the nurse preoperatively assesses the client’s past compliance with medical regimens. Lack of compliance with which of the following regimens would pose the greatest health hazard to this client? A. Medication therapy B. Diet modification C. Activity restrictions D.… Read More »
Good dental care is an important measure in reducing the risk of endocarditis. A teaching plan to promote good dental care in a client with mitral stenosis should include a demonstration of the proper use of: A. A manual toothbrush B. An electric toothbrush C. An irrigation device D. Dental floss… Read More »