Cardiovascular NCLEX-RN

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Cardiovascular NCLEX-RN A female client calls the nurse at the clinic and reports that ever since the vein ligation and stripping procedure was performed, she has been experiencing a sensation as though the affected leg is falling asleep. The nurse should make which response to the client?1, "Apply warm packs to the leg." 2."Keep the leg elevated as much as possible." 3."Contact your health care provider right away to report this problem." 4."This normally occurs after surgery and will subside when the edema goes down." - Ans 3."Contact your health care provider right away to report this problem."

Rationale:

A sensation of pins and needles or feeling as though the surgical limb is falling asleep may indicate temporary or permanent nerve damage after surgery. The saphenous vein and the saphenous nerve run close together, and damage to the nerve will produce paresthesias. Options 1, 2, and 4 are inaccurate responses. An alternative to surgery is endovenous ablation of the saphenous vein. Ablation involves the insertion of a catheter that emits energy. This causes collapse and sclerosis of the vein. Potential complications include bruising, tightness along the vein, recanalization (reopening of the vein), and paresthesia. Endovenous ablation also may be done in combination with saphenofemoral ligation or phlebectomy. Transilluminated powdered phlebectomy involves the use of a powdered resector to destroy the varices and then removes the pieces via aspiration.

An ambulatory care nurse measures the blood pressure of a client and finds it to be 156/94 mm Hg. Which statement indicates the client needs additional education?

1."It is important that I limit protein intake." 2."I need to maintain a regular exercise program." 3."I understand that I need to avoid adding salt to foods." 4."It is important that I begin reducing and then maintaining weight." - Ans 1."It is important that I limit protein intake."

Rationale:

Obesity and sodium intake are modifiable risk factors for hypertension. These are of the utmost importance because they can be changed or modified by the individual through a regular exercise program and careful monitoring of sodium intake. Protein intake has no relationship to hypertension.

A nurse identifies that a client is having occasional premature ventricular contractions (PVCs) on the cardiac monitor. The nurse reviews the client's laboratory results and determines that which result would be consistent with the observation?

1.Serum sodium level of 145 mEq/L 2.Serum chloride level of 98 mEq/L 3.Serum calcium level of 10 mg/dL 4.Serum potassium level of 2.8 mEq/L - Ans 4.Serum potassium level of 2.8 mEq/L

Rationale:

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