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Questions 164

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Question 1 of 5

A client is admitted with the diagnosis of pulmonary embolism. While taking a history, the client tells the nurse he was admitted for the same thing twice before, the last time just 3 months ago. The nurse would anticipate the provider ordering

Correct Answer: B

Rationale: vena caval interruption. Clients with contraindications to Heparin, recurrent PE or those with complications related to the medical therapy may require vena caval interruption by the placement of a filter device in the inferior vena cava. A filter can be placed transvenously to trap clots before they travel to the pulmonary circulation.

Question 2 of 5

The nurse is reinforcing teaching to a client diagnosed with Raynaud phenomenon about ways to prevent recurrent episodes. Which instructions should the nurse include? Select all that apply.

Correct Answer: A,C,D,E

Rationale: Caffeine, tobacco, and cold exposure can trigger Raynaud episodes. Yoga/tai chi and gloves help prevent attacks. Cold water immersion exacerbates symptoms.

Question 3 of 5

The nurse is caring for a client with major depressive disorder. Which of the following findings would be consistent with the condition?

Correct Answer: C

Rationale: Major depressive disorder is characterized by symptoms such as changes in appetite, sleep disturbances, and neglect of personal hygiene due to low energy and motivation.

Question 4 of 5

The nurse assists with data collection during a routine prenatal visit for a client at 36 weeks gestation. Which statement by the client is most concerning to the nurse?

Correct Answer: B

Rationale: Decreased fetal movement may indicate fetal distress and requires immediate evaluation.

Question 5 of 5

The nurse is preparing to administer sumatriptan to a client with a migraine headache. Which of the following findings would require follow-up prior to administering the medication?

Correct Answer: B

Rationale: Sumatriptan is contraindicated in uncontrolled hypertension due to the risk of cardiovascular events.

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