The nurse is teaching the client diagnosed with de

Extract:

Question 1 of 5

The nurse is teaching the client diagnosed with deep vein thrombosis and prescribed warfarin. Which should the nurse teach the client? Select all that apply.

A. Keep a constant amount of green, leafy vegetables in the diet. B. Instruct the client to have regular INR laboratory work done. C. Tell the client to go to the hospital immediately for any bleeding. D. Inform the client to notify the HCP if having dark, tarry stools. E. Encourage the client to avoid all green vegetables. F. Have the client take iron orally to prevent bleeding.

Correct Answer: A,B,D

Rationale: Constant green vegetable intake (
A), regular INR (
B), and reporting tarry stools (
D) ensure safe warfarin use. Avoiding all greens (E) is unnecessary, and iron (
C) doesn’t prevent bleeding. Immediate hospital for any bleeding (
C) is excessive; minor bleeding requires HCP contact.

Question 2 of 5

Which should the nurse include in the plan of care for a client diagnosed with venous stasis ulcers? Select all that apply.

A. Elevate the legs while sitting. B. Wear antiembolism compression stockings. C. Avoid injury to the lower limbs. D. Trim the toenails straight across. E. Do not apply moisturizer to the lower legs. F. Allow the legs to hang over the bed in a dependent position.

Correct Answer: A,B,C,D

Rationale: Leg elevation (
A), compression stockings (
B), injury avoidance (
C), and straight toenail trimming (
D) manage venous ulcers. Moisturizer (E) is beneficial, and dependent position (F) worsens edema.

Question 3 of 5

The nurse is caring for a male client diagnosed with essential hypertension. Which information regarding antihypertensive medication should the nurse teach?

A. Teach the client to take his blood pressure four (4) times each day. B. Instruct the client to have regular blood levels of the medication checked. C. Explain the need to rise slowly from a lying or sitting position. D. Demonstrate how to use a blood glucose meter daily.

Correct Answer: C

Rationale: Antihypertensives cause orthostatic hypotension; rising slowly (
C) prevents falls. Frequent BP checks (
A) are excessive, drug levels (
B) are rarely monitored, and glucose meters (
D) are irrelevant.

Question 4 of 5

The client is at risk for a myocardial infarction due to decreased tissue perfusion as a result of atherosclerosis. Which instructions can the nurse provide the client to reduce the risk?

A. Teach the client to control the blood pressure to less than 140/90. B. Instruct the client to exercise 30 minutes a day three (3) times a week. C. Demonstrate how to take the blood pressure using a battery-operated cuff. D. Inform the client to limit fat intake and which foods have a higher fat content.

Correct Answer: A,B,D

Rationale: Controlling BP <140/90 (
A), exercising 30 min 3×/week (
B), and limiting fat (
D) reduce MI risk. BP cuff use (
C) is monitoring, not prevention.

Question 5 of 5

Which signs/symptoms would the nurse expect to find when assessing a client diagnosed with subclavian steal syndrome?

A. Complaints of arm tiredness with exertion. B. Complaints of shortness of breath while resting. C. Jugular vein distention when sitting at a 35-degree angle. D. Dilated blood vessels above the nipple line.

Correct Answer: A

Rationale: Subclavian steal syndrome causes arm ischemia due to subclavian artery occlusion, leading to arm tiredness with exertion (
A). Shortness of breath (
B), JVD (
C), and dilated vessels (
D) are not typical.

Nurselytic

NCLEX-PN

NCLEX-PN

Peripheral Vascular Disease NCLEX Questions Questions

Extract:

Question 1 of 5

Question 2 of 5

Question 3 of 5

Question 4 of 5

Question 5 of 5

Access More Questions!

NCLEX PN Basic

NCLEX PN Premium

Similar Questions