Title RECALLS 4 - NP3 - SC ✅

B. Livor mortis C. Algor mortis D. Pallor mortis 49. The nurse is preparing to perform postmortem care for a deceased client. To maintain the body’s appearance and prevent discoloration, what is the most appropriate position for the nurse to place the body? A. Supine with head flat and arms at the side B. Prone with arms at the side C. Side-lying with knees bent D. Supine with the head slightly elevated and arms at the side 50. Which of the following is appropriate nursing intervention for a client who is grieving over the death of her child? A. Tell her not to cry and it will be better. B. Provide opportunity to the client to tell their story. C. Encourage her to accept or to replace the lost person. D. Discourage the client in expressing her emotions. Situation: Mr. Alcovendas, a 70-year-old male patient, presents to the emergency department with severe, persistent back pain radiating to the lower abdomen. He reports feeling a pulsating mass in his abdomen for the past few months but dismissed it. His blood pressure is 80/50 mmHg, and his heart rate is 120 bpm. Physical examination reveals a tender, pulsatile abdominal mass. A CT scan confirms a ruptured abdominal aortic aneurysm (AAA). 51. Which of the following is the most likely cause of this patient's low blood pressure and tachycardia? A. Severe dehydration B. Acute myocardial infarction C. Intra-abdominal hemorrhage D. Pulmonary embolism 52. Which of the following nursing interventions is priority in managing this patient's immediate condition? A. Administer intravenous fluids B. Obtain a 12-lead electrocardiogram (ECG) C. Prepare the patient for surgery D. Administer pain medication 53. Which of the following diagnostic tests confirm the diagnosis of a ruptured AAA? A. Abdominal ultrasound B. Chest X-ray C. Computed tomography (CT) scan D. Magnetic resonance imaging (MRI) 54. Which of the following preoperative nursing assessments is crucial for a patient with a ruptured AAA scheduled for emergency surgery? A. Assessing the patient's understanding of the procedure B. Monitoring the patient's fluid balance C. Assessing the patient's pain level D. Monitoring the patient's vital signs and oxygen saturation 55. What is the most important postoperative instruction to provide to a patient recovering from an AAA repair regarding activity and mobility? A. Avoid all physical activity for at least six weeks. B. Gradually increase activity as tolerated, avoiding strenuous activities. C. Maintain strict bed rest for at least three weeks. D. Resume normal activities immediately after discharge. Situation: Princess Carahey, a 28-year-old female patient, presents to the clinic complaining of episodic numbness, tingling, and blanching of her fingertips, particularly during cold weather. She denies any history of connective tissue disease or trauma. The symptoms resolve spontaneously after warming her hands. 56. Considering the patient's symptoms and history, which condition is most appropriate? A. Secondary Raynaud's phenomenon B. Acrocyanosis C. Primary Raynaud's phenomenon D. Peripheral artery disease 57. Which of the following is a key differentiating factor between Raynaud's phenomenon and acrocyanosis? A. Presence of hyperhidrosis B. Bilateral and symmetrical involvement C. Paroxysmal pallor of the digits D. Aggravation by cold temperatures 58. The nurse should advise the patient to avoid which of the following to minimize the frequency of her symptoms? A. Regular exercise B. Situations that may be stressful C. Nicotine use in any form D. Both b and c 59. The nurse is educating the patient on self-management strategies for her condition. Which of the following instructions is least important to emphasize? A. Avoid exposure to cold temperatures. B. Wear warm clothing, including gloves and hats, during cold weather. C. Immediately discontinue all nicotine use, including nicotine replacement therapy. D. Regularly perform range-of-motion exercises to improve circulation. 60. Which of the following patient statements indicates a need for further teaching regarding self-management of Raynaud's phenomenon? A. "I'll wear gloves when I handle frozen food." B. "I'll try to manage my stress levels." C. "I'll use a heating pad on my hands for long periods to keep them warm." D. "I'll avoid smoking and nicotine products." Situation: Mr. Balay, a 60-year-old male patient, is admitted to the hospital following a prolonged flight, complaining of right leg pain, swelling, and warmth. A physical examination reveals unilateral edema of the right lower extremity, with tenderness to palpation along the posterior calf. A Doppler ultrasound confirms a deep vein thrombosis (DVT) in the right popliteal vein. 61. Which of the following is the most significant risk factor for this patient's DVT? A. Age B. Gender C. Prolonged immobility during the flight D. Tenderness to palpation 62. Which of the following nursing actions is the highest priority during the initial care of a patient with suspected deep vein thrombosis (DVT)? A. Applying warm compresses to the affected leg. B. Encouraging active range-of-motion exercises. C. Elevating the affected leg. D. Massaging the affected leg to improve circulation. 63. The primary goal of medical management in this patient is to: A. Immediately dissolve the existing thrombus. B. Prevent further thrombus extension and embolization. C. Reduce leg pain and swelling. D. Improve blood flow to the affected leg. 64. Which of the following medications is commonly indicated for this patient’s condition? A. Aspirin B. Heparin C. Warfarin D. Clopidogrel 65. Which nursing intervention plays a vital role in preventing complications related to this patient’s deep vein thrombosis (DVT)? A. Applying warm compresses to the affected leg. B. Encouraging bed rest to minimize pain. C. Promoting early ambulation and leg exercises. D. Measuring leg circumference daily to monitor swelling. Situation: Mrs. Panis, a 45-year-old female patient, presents to the emergency department with sudden onset of shortness of breath, sharp chest pain worsened by deep breaths, and tachycardia. She reports a recent history of deep vein thrombosis in her left leg. Initial assessment reveals tachypnea, hypoxemia (SpO2 88% on room air), and a slightly elevated D-dimer. A multidetector computed tomography 4 | Page