Physiological Adaptation Q 227

A client with shortness of breath has decreased to absent breath sounds on the right side, from the apex to the base. Which of the following conditions would best explain this?         A. Acute asthma      B. Chronic bronchitis      C. Pneumonia      D. Spontaneous pneumothorax           Correct Answer: D. Spontaneous pneumothorax A spontaneous… Read More »

Physiological Adaptation Q 228

A nonimmunized child appears at the clinic with a visible rash. Which of the following observations indicates the child may have rubeola (measles)?         A. Small blue-white spots are visible on the oral mucosa.      B. The rash begins on the trunk and spreads outward.      C. There is low-grade fever.      D. The lesions… Read More »

Physiological Adaptation Q 229

Karina, a client with myasthenia gravis, is to receive immunosuppressive therapy. The nurse understands that this therapy is effective because it:         A. Promotes the removal of antibodies that impair the transmission of impulses      B. Stimulates the production of acetylcholine at the neuromuscular junction.      C. Decreases the production of autoantibodies that attack the… Read More »

Physiological Adaptation Q 230

A 62-year-old male client was in a motor vehicle accident as an unrestrained driver. He’s now in the emergency department complaining of difficulty of breathing and chest pain. On auscultation of his lung field, no breath sounds are present in the upper lobe. This client may have which of the following conditions?         A. Bronchitis… Read More »

Physiological Adaptation Q 231

A patient is admitted to the oncology unit for diagnosis of suspected Hodgkin’s disease. Which of the following symptoms is typical of Hodgkin’s disease?         A. Painful cervical lymph nodes      B. Night sweats and fatigue      C. Nausea and vomiting      D. Weight gain           Correct Answer: B. Night sweats and… Read More »

Physiological Adaptation Q 232

A client is admitted to the unit 2 hours after an explosion causes burns to the face. The nurse would be most concerned with the client developing which of the following?         A. Hypovolemia      B. Laryngeal edema      C. Hypernatremia      D. Hyperkalemia           Correct Answer: B. Laryngeal edema The nurse should be… Read More »

Physiological Adaptation Q 233

A child is seen in the emergency department for scarlet fever. Which of the following descriptions of scarlet fever is not correct?         A. Scarlet fever is caused by infection with group A Streptococcus bacteria.      B. “Strawberry tongue” is a characteristic sign.      C. Petechiae occur on the soft palate.      D. The pharynx… Read More »

Physiological Adaptation Q 234

A nurse is putting together a presentation on meningitis. Which of the following microorganisms has not been linked to meningitis in humans?         A. S. pneumoniae      B. H. influenzae      C. N. meningitidis      D. Cl. difficile           Correct Answer: D. Cl. difficile Cl. difficile has not been linked to meningitis. Clostridium difficile… Read More »

Physiological Adaptation Q 235

During the admission assessment on a client with chronic bilateral glaucoma, which statement by the client would the nurse anticipate since it is associated with this problem?         A. “I have constant blurred vision.”      B. “I can’t see on my left side.”      C. “I have to turn my head to see my room.”… Read More »