Which hereditary disease is most closely linked to an aneurysm? A. Cystic fibrosis B. Lupus erythematosus C. Marfan’s syndrome D. Myocardial infarction Correct Answer: C. Marfan’s syndrome Marfan’s syndrome results in the degeneration of the elastic fibers of the aortic media. Therefore, clients with the syndrome are… Read More »
A newly admitted client has a sickle cell crisis. The nurse is planning care based on the assessment of the client. The client is complaining of severe pain in his feet and hands. The pulse oximetry is 92. Which of the following interventions would be implemented first? Assume that there are orders for each intervention. … Read More »
What would be the primary goal of therapy for a client with pulmonary edema and heart failure? A. Enhance comfort B. Increase cardiac output C. Improve respiratory status D. Peripheral edema decreased Correct Answer: B. Increase cardiac output The primary goal of therapy for the client with… Read More »
Which of the following treatments is the definitive one for a ruptured aneurysm? A. Antihypertensive medication administration B. Aortogram C. Beta-adrenergic blocker administration D. Surgical intervention Correct Answer: D. Surgical intervention When the vessel ruptures, surgery is the only intervention that can repair it. The techniques used… Read More »
A 37-year-old client with uterine cancer asks the nurse, “Which is the most common type of cancer in women?” The nurse replies that it’s breast cancer. Which type of cancer causes the most deaths in women? A. Breast cancer B. Lung cancer C. Brain cancer D. Colon and rectal cancer … Read More »
Anthony suffers burns on the legs, which nursing intervention helps prevent contractures? A. Applying knee splints. B. Elevating the foot of the bed. C. Hyperextending the client’s palms. D. Performing shoulder range-of-motion exercises. Correct Answer: A. Applying knee splints. Applying knee splints prevents leg contractures by holding… Read More »
The primary reason for rapid continuous rewarming of the area affected by frostbite is to: A. Lessen the amount of cellular damage B. Prevent the formation of blisters C. Promote movement D. Prevent pain and discomfort Correct Answer: A. Lessen the amount of cellular damage Rapid continuous… Read More »
Nurse Linda is caring for a client with head injury and monitoring the client with decerebrate posturing. Which of the following is a characteristic of this type of posturing? A. Upper extremity flexion with lower extremity flexion B. Upper extremity flexion with lower extremity extension C. Extension of the extremities after a… Read More »
Marina with acute renal failure moves into the diuretic phase after one week of therapy. During this phase the client must be assessed for signs of developing: A. Hypovolemia B. Renal failure C. Metabolic acidosis D. Hyperkalemia Correct Answer: A. Hypovolemia In the diuretic phase fluid retained… Read More »
Antonio with lung cancer develops Horner’s syndrome when the tumor invades the ribs and affects the sympathetic nerve ganglia. When assessing for signs and symptoms of this syndrome, the nurse should note: A. Miosis, partial eyelid ptosis, and anhidrosis on the affected side of the face. B. Chest pain, dyspnea, cough, weight loss,… Read More »