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1. A nurse is assessing a client who has a diagnosis on colon cancer which of the following should the nurse expect? a) Statorrhea b)Elevated hemoglobin c) Hematochezia d)Weight gain 2. A nurse is assessing a client admitted with peripheral vascular disease Which of the following findings indicates a venous vascular disorder? 1. a) Anulceratthetipofatoe 2. b) Hair loss distal to the clients calves 3. c) Legpainatrest 4. d) Edema of the ankle 3. A nurse is assessing a client who has pericarditis. In which of the following areas of the client’s chest should the nurse place the stethoscope to best hear a pericardial friction rub? (select HOT spot) lOMoARcPSD|12263423 Downloaded by Anna Maina ([email protected]) Answer: D 4. A nurse is caring for a client who has a chest tube. The client asks why the fluid in the water -seal chamber rises and falls. Which of the following statements should the nurse make? a)“ this means your lung is fully expanded “ b)“ this indicates a possible leak†c)“ suction pressure that is too high causes this†d)“ Your breathing pattern causes this†5. A community health nurse is reviewing home care instructions with an adult client who has a new diagnosis of heart failure. Which of the following priority topic for the nurse to review with the client? a) Daily sodium restriction b) Daily exercise routine c)Changes in weight d)Fluid intake record 6. A nurse is teaching a client about the use of transcutaneous electrical stimulation (TENS) unit. Which of the following statements should the include? a)“Apply lotion to the site prior to attaching the electrodes†b)“ this device requires access to a 220 volt outlet†c)‘ this device delivers heat via electrodes that are attached to the effected d) “adjust the dial until you feel a ‘pins and needles’ sensationâ€
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