The nurse is assessing a client with endocarditis. Which finding is mo

Peripheral Vascular Disease NCLEX Questions

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Question 1 of 5.

The nurse is assessing a client with endocarditis. Which finding is most concerning?

A. Fever of 102Ã‚Â°F

B. Mild fatigue

C. Heart rate of 90 beats per minute

D. Blood pressure of 130/85 mmHg

Explanation: Fever is a hallmark of endocarditis and may indicate ongoing infection, requiring prompt attention.

Question 2 of 5.

The 66-year-old male client has his blood pressure (BP) checked at a health fair. The BP is 168/98. Which action should the nurse implement first?

A. Recommend that the client have his blood pressure checked in one (1) month.

B. Instruct the client to see his health-care provider as soon as possible.

C. Discuss the importance of eating a low-salt, low-fat, low-cholesterol diet.

D. Explain that this BP is within the normal range for an elderly person.

Explanation: BP 168/98 indicates stage 2 hypertension, requiring prompt HCP evaluation (B). Waiting a month (A) delays care, diet discussion (C) is secondary, and normal range (D) is incorrect (normal is <120/80).

Question 3 of 5.

The nurse is administering a beta blocker to the client diagnosed with essential hypertension. Which intervention should the nurse implement?

A. Notify the health-care provider if the potassium level is 3.8 mEq.

B. Question administering the medication if the BP is less than 90/60 mm Hg.

C. Do not administer the medication if the client's radial pulse is greater than 100.

D. Monitor the client's BP while he or she is lying, standing, and sitting.

Explanation: Beta blockers lower BP; BP <90/60 (B) indicates hypotension, warranting withholding the dose. Potassium 3.8 (A) is normal, pulse >100 (C) is not a contraindication, and orthostatic checks (D) are routine but not primary.

Question 4 of 5.

The client diagnosed with essential hypertension asks the nurse, 'Why do I have high blood pressure?' Which response by the nurse would be most appropriate?

A. You probably have some type of kidney disease that causes the high BP.'

B. More than likely you have had a diet high in salt, fat, and cholesterol.'

C. There is no specific cause for hypertension, but there are many known risk factors.'

D. You are concerned that you have high blood pressure. Let's sit down and talk.'

Explanation: Essential hypertension has no single cause but multiple risk factors (e.g., genetics, lifestyle) (C). Kidney disease (A) or diet (B) may contribute but aren't definitive, and concern (D) avoids the question.

Question 5 of 5.

The client diagnosed with essential hypertension asks the nurse, 'I don't know why the doctor is worried about my blood pressure. I feel just great.' Which statement by the nurse would be the most appropriate response?

A. Damage can be occurring to your heart and kidneys even if you feel great.'

B. Unless you have a headache, your blood pressure is probably within normal limits.'

C. When is the last time you saw your doctor? Does he know you are feeling great?'

D. Your blood pressure reflects how well your heart is working.'

Explanation: Hypertension causes silent organ damage (heart, kidneys) (A), even without symptoms. Headaches (B) aren't reliable, doctor visits (C) are irrelevant, and heart function (D) is vague.