Med-Surg II HESI Exam - set two

Med-Surg II HESI Exam - set two Questions and Answers 100% Pass

The nurse is assessing a 48-year-old client with a history of smoking during a routine clinic visit.The client, who exercises regularly, reports having pain in the calf during exercise that disappears at rest. Which of the following findings requires further evaluation?

• Heart rate 57 bpm.
• SpO2 of 94% on room air.
• Blood pressure 134/82.
• Ankle-brachial index of 0.65.

4 A client with peripheral vascular disease has undergone a right femoralpopliteal bypass graft. The blood pressure has decreased from 124/80 to 94/62. What should the nurse assess first?

• IV fluid solution.
• Pedal pulses.
• Nasal cannula flow rate.
• Capillary refill.

2 1 / 3

An overweight client taking warfarin (Coumadin) has dry skin due to decreased arterial blood flow. What should the nurse instruct the client to do? Select all that apply.

• Apply lanolin or petroleum jelly to intact skin.
• Follow a reduced-calorie, reduced-fat diet.
• Inspect the involved areas daily for new ulcerations.
• Instruct the client to limit activities of daily living (ADLs).
• Use an electric razor to shave.

1, 2, 3, 5

The nurse is caring for a client with peripheral artery disease who has recently been prescribed clopidogrel (Plavix). The nurse understands that more teaching is

necessary when the client states which of the following:

• "I should not be surprised if I bruise easier or if my gums bleed a little when

brushing my teeth."

• "It doesn't really matter if I take this medicine with or without food, whatever

works best for my stomach."

• "I should stop taking Plavix if it makes me feel weak and dizzy."
• "The doctor prescribed this medicine to make my platelets less likely to stick

together and help prevent clots from forming."

3 2 / 3

A client is receiving Cilostazol (Pletal) for peripheral arterial disease causing intermittent claudication. The nurse determines this medication is effective when the client reports which of the following?

• "I am having fewer aches and pains."
• "I do not have headaches anymore."
• "I am able to walk further without leg pain."
• "My toes are turning grayish black in color."

3 The client admitted with peripheral vascular disease (PVD) asks the nurse why her legs hurt when she walks. The nurse bases a response on the knowledge that the

main characteristic of PVD is:

• Decreased blood flow.
• Increased blood flow.
• Slow blood flow.
• Thrombus formation.

1 The nurse is planning care for a client who is diagnosed with peripheral vascular disease (PVD) and has a history of heart failure. The nurse should develop a plan of care that is based on the fact that the client may have a low tolerance for exercise

related to:

• / 3