In an individual with Sjögren’s syndrome, nursing care should focus on: A. Moisture replacement. B. Electrolyte balance. C. Nutritional supplementation. D. Arrhythmia management. Correct Answer: A. Moisture replacement. Sjogren’s syndrome is an autoimmune disorder leading to progressive loss of lubrication of the skin, GI tract, ears, nose,… Read More »
A nurse is caring for a patient with peripheral vascular disease (PVD). The patient complains of burning and tingling of the hands and feet and cannot tolerate touch of any kind. Which of the following is the most likely explanation for these symptoms? A. Inadequate tissue perfusion leading to nerve damage. B. Fluid overload leading… Read More »
Nurse Rachel teaches a client who has been recently diagnosed with hepatitis A about untoward signs and symptoms related to Hepatitis that may develop. The one that should be reported immediately to the physician is: A. Restlessness B. Yellow urine C. Nausea D. Clay-colored stools Correct Answer: D. Clay-colored… Read More »
A child is admitted to the hospital with a diagnosis of Wilms tumor, stage II. Which of the following statements most accurately describes this stage? A. The tumor is less than 3 cm. in size and requires no chemotherapy. B. The tumor did not extend beyond the kidney and was completely resected. C. The… Read More »
Which of the following is the most common symptom of myocardial infarction? A. Chest pain B. Dyspnea C. Edema D. Palpitations Correct Answer: A. Chest pain The most common symptom of an MI is chest pain, resulting from the deprivation of oxygen to the heart. The classic manifestation of… Read More »
Mrs. Cruz, 80 years old is diagnosed with pneumonia. Which of the following symptoms may appear first? A. Altered mental status and dehydration B. Fever and chills C. Hemoptysis and Dyspnea D. Pleuritic chest pain and cough Correct Answer: A. Altered mental status and dehydration Elderly clients may… Read More »
Mr. Jay develops hepatic encephalopathy. Which clinical manifestation is most common with this condition? A. Increased urine output B. Altered level of consciousness C. Decreased tendon reflex D. Hypotension Correct Answer: B. Altered level of consciousness Changes in behavior and level of consciousness are the first signs of hepatic… Read More »
A 19-year-old patient comes to the ED with acute asthma. His respiratory rate is 44 breaths/minute, and he appears to be in acute respiratory distress. Which of the following actions should you take first? A. Take a full medical history. B. Give a bronchodilator by nebulizer. C. Apply a cardiac monitor to the… Read More »
Which of the following landmarks is the correct one for obtaining an apical pulse? A. Left intercostal space, midaxillary line B. Left fifth intercostal space, midclavicular line C. Left second intercostal space, midclavicular line D. Left seventh intercostal space, midclavicular line Correct Answer: B. Left fifth intercostal… Read More »
A male client has active tuberculosis (TB). Which of the following symptoms will be exhibited? A. Chest and lower back pain B. Chills, fever, night sweats, and hemoptysis C. Fever of more than 104°F (40°C) and nausea D. Headache and photophobia Correct Answer: B. Chills, fever, night… Read More »