Which of the following tests are appropriate to order to initially evaluate for this condition?

A 68-year-old retired truck driver comes to your office for evaluation of swelling in his legs. He is a smoker and has been taking medications to control his hypertension for the past 25 years. You are concerned about his risk for peripheral vascular disease.

A) Venogram
B) CT scan of the lower legs
C) Ankle–brachial index (ABI)
D) PET scan


C) Ankle–brachial index (ABI)

The ankle–brachial index is a good test for obtaining information about significant stenosis in the vessels of the lower extremities. Sixteen percent of patients with known peripheral vascular disease also have coronary artery disease.

Nursing

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When planning to discharge a client with MS, the nurse should teach the client to:

1. increase exercises in the afternoon. 2. perform tasks in the morning. 3. take showers or tub baths in hot water. 4. decrease medication as symptoms improve.

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Which action should the nurse caring for a patient diagnosed with a cerebral aneurysm who reports a severe headache perform?

A) Sit with the patient for a few minutes. B) Administer an analgesic. C) Inform the nurse-manager. D) Call the physician immediately.

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The nurse is caring for a client on a PCA pump with morphine. Which of the following medications should the nurse have readily available?

A) Normal saline B) Naloxone hydrochloride (Narcan) C) Acetaminophen (Tylenol) D) Diphenhydramine hydrochloride (Benadryl)

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A client with OCD tells the nurse, "Thinking these thoughts and doing all my rituals is beyond being silly. I know others laugh behind my back. I sometimes think I can control things, but I al-ways find I can't

I don't know if I can continue to live this way…being a burden on my family and being of no use to myself." The reply that shows the best understanding of the client's priority risk is: 1. "How are you sleeping?" 2. "Are your rituals interfering with eating?" 3. "Have you been thinking about suicide? 4. "What makes you think others are laughing behind your back?

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