The nurse assessing the client with cardiovascular disease observes the following clinical manifestations. Which one indicates arterial insufficiency?
A. Dependent edema
B. Rubor in a dependent foot
C. Paradoxical blood pressure
D. Clubbing of the fingers and toes
B
A dusky redness replacing pallor in a dependent foot, especially if pain is relieved with the foot in the dependent position, is an indication of arterial insufficiency.
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A patient converts from normal sinus rhythm at 80 bpm to atrial fibrillation with a ventricular response at 166 bpm. Blood pressure is 162/74 mm Hg
Respiratory rate is 20 breaths per minute with normal chest expansion and clear lungs bilaterally. IV heparin and Cardizem are given. The nurse caring for the patient understands that the main goal of treatment is what? A) Decrease SA node conduction B) Control ventricular heart rate C) Improve oxygenation D) Maintain anticoagulation
The mental health nurse is caring for a client with psychophysiologic behaviors. What would be an important intervention for the nurse with this client?
A) Encourage confrontation concerning the psychologic defense nature of the symptoms. B) Encourage the client to use physical means to express feelings. C) Maximize the time and attention given to physical symptoms. D) Continue to monitor physical complaints to assist in ruling out any actual cause for the symptoms.
Many adolescents decide to follow a vegetarian diet during their teen years. The nurse can advise the adolescent and his or her parents that
a. This diet will not meet the nutritional requirements of growing teens. b. A vegetarian diet is healthy for this population. c. An adolescent on a vegetarian diet is less likely to eat high-fat or low-nutrient foods. d. A vegetarian diet requires little extra meal planning.
In counseling a client with ulcerative colitis for 25 years about health maintenance plans, the nurse would include the advice that the client should
a. avoid red meat. b. obtain genetic counseling. c. reduce physical exercise. d. schedule regular proctoscopic examinations.