The nurse is aware the early indicator of hypoxia in the unconscious client is: A. Cyanosis B. Increased respirations C. Hypertension D. Restlessness Correct Answer: D. Restlessness Restlessness is an early indicator of hypoxia. The nurse should suspect hypoxia in an unconscious client who suddenly becomes restless.… Read More »
A nurse is reviewing a patient’s chart and notices that the patient suffers from Lyme disease. Which of the following microorganisms is related to this condition? A. Borrelia burgdorferi B. Streptococcus pyogenes C. Bacillus anthracis D. Enterococcus faecalis Correct Answer: A. Borrelia burgdorferi Lyme disease is the… Read More »
Dyspnea, cough, expectoration, weakness, and edema are classic signs and symptoms of which of the following conditions? A. Pericarditis B. Hypertension C. Obliterative D. Restrictive Correct Answer: D. Restrictive These are the classic symptoms of heart failure. Heart failure is the pathophysiologic state in which the heart,… Read More »
A female client with cancer is being evaluated for possible metastasis. Which of the following is one of the most common metastasis sites for cancer cells? A. Liver B. Colon C. Reproductive tract D. White blood cells (WBCs) Correct Answer: A. Liver The liver is one of the five… Read More »
A child is admitted to the hospital several days after stepping on a sharp object that punctured her athletic shoe and entered the flesh of her foot. The physician is concerned about osteomyelitis and has ordered parenteral antibiotics. Which of the following actions is done immediately before the antibiotic is started? A. The admission… Read More »
A 64-year-old male client with a long history of cardiovascular problems including hypertension and angina is to be scheduled for cardiac catheterization. During pre-cardiac catheterization teaching, Nurse Cherry should inform the client that the primary purpose of the procedure is: A. To determine the existence of CHD. B. To visualize the disease process… Read More »
A client is experiencing spinal shock. Nurse Myrna should expect the function of the bladder to be which of the following? A. Normal B. Atonic C. Spastic D. Uncontrolled Correct Answer: B. Atonic In spinal shock, the bladder becomes completely atonic and will continue to fill unless… Read More »
Which of the following types of cardiomyopathy does not affect cardiac output? A. Dilated B. Hypertrophic C. Restrictive D. Obliterative Correct Answer: B. Hypertrophic Cardiac output isn’t affected by hypertrophic cardiomyopathy because the size of the ventricle remains relatively unchanged. Three explanations for the systolic anterior motion… Read More »
A male client has a reduced serum high-density lipoprotein (HDL) level and an elevated low-density lipoprotein (LDL) level. Which of the following dietary modifications is not appropriate for this client? A. Fiber intake of 25 to 30 g daily. B. Less than 30% of calories from fat. C. Cholesterol intake of less than 300… Read More »
A two-year-old child has sustained an injury to the leg and refuses to walk. The nurse in the emergency department documents swelling of the lower affected leg. Which of the following does the nurse suspect is the cause of the child’s symptoms? A. Possible fracture of the tibia. B. Bruising of the gastrocnemius… Read More »