A 66-year-old client has been complaining of sleeping more, increased urination, anorexia, weakness, irritability, depression, and bone pain that interferes with her going outdoors. Based on these assessment findings, the nurse would suspect which of the following disorders? A. Diabetes mellitus B. Diabetes insipidus C. Hypoparathyroidism D. Hyperparathyroidism … Read More »
Nurse Maureen would expect a client with mitral stenosis would demonstrate symptoms associated with congestion in the: A. Right atrium B. Superior vena cava C. Aorta D. Pulmonary Correct Answer: D. Pulmonary When mitral stenosis is present, the left atrium has difficulty emptying its contents into the… Read More »
Tracy is receiving combination chemotherapy for treatment of metastatic carcinoma. Nurse Ruby should monitor the client for the systemic side effect of: A. Ascites B. Nystagmus C. Leukopenia D. Polycythemia Correct Answer: C. Leukopenia Leukopenia, a reduction in WBCs, is a systemic effect of chemotherapy as a… Read More »
A patient arrives in the emergency department with symptoms of myocardial infarction, progressing to cardiogenic shock. Which of the following symptoms should the nurse expect the patient to exhibit with cardiogenic shock? A. Hypertension B. Bradycardia C. Bounding pulse D. Confusion Correct Answer: D. Confusion Cardiogenic shock… Read More »
A patient arrives at the emergency department with severe lower leg pain after a fall in a touch football game. Following routine triage, which of the following is the appropriate next step in assessment and treatment? A. Apply heat to the painful area. B. Apply an elastic bandage to the leg. C.… Read More »
Which of the following symptoms is most commonly associated with left-sided heart failure? A. Crackles B. Arrhythmias C. Hepatic engorgement D. Hypotension Correct Answer: A. Crackles Crackles in the lungs are a classic sign of left-sided heart failure. These sounds are caused by fluid backing up into the pulmonary… Read More »
A patient with a history of congestive heart failure arrives at the clinic complaining of dyspnea. Which of the following actions is the first the nurse should perform? A. Ask the patient to lie down on the exam table. B. Draw blood for chemistry panel and arterial blood gas (ABG). C. Send… Read More »
A nurse caring for several patients in the cardiac unit is told that one is scheduled for implantation of an automatic internal cardioverter-defibrillator. Which of the following patients is most likely to have this procedure? A. A patient admitted for myocardial infarction without cardiac muscle damage. B. A postoperative coronary bypass patient, recovering on schedule.… Read More »
Claudication is a well-known effect of peripheral vascular disease. Which of the following facts about claudication is correct? Select all that apply. A. It results when oxygen demand is greater than oxygen supply. B. It is characterized by pain that often occurs during rest. C. It is a result of tissue hypoxia. … Read More »
A thirty-five-year-old male has been an insulin-dependent diabetic for five years and now is unable to urinate. Which of the following would you most likely suspect? A. Atherosclerosis B. Diabetic nephropathy C. Autonomic neuropathy D. Somatic neuropathy Correct Answer: C. Autonomic neuropathy Autonomic neuropathy (also known as Diabetic Autonomic… Read More »