What is the priority nursing diagnosis for a patient experiencing a migraine headache? A. Acute pain related to biologic and chemical factors B. Anxiety related to change in or threat to health status C. Hopelessness related to deteriorating physiological condition D. Risk for Side effects related to medical therapy … Read More »
What is the term used to describe an enlargement of the heart muscle? A. Cardiomegaly B. Cardiomyopathy C. Myocarditis D. Pericarditis Correct Answer: A. Cardiomegaly Cardiomegaly denotes an enlarged heart muscle. The most critical pathophysiological changes leading to cardiomegaly include dilated hypertrophy, fibrosis, and contractile malfunction. Contractile… Read More »
During a breast examination, which finding most strongly suggests that the Luz has breast cancer? A. Slight asymmetry of the breasts B. A fixed nodular mass with dimpling of the overlying skin C. Bloody discharge from the nipple D. Multiple firm, round, freely movable masses that change with the menstrual cycle… Read More »
A nurse is assigned to the pediatric rheumatology clinic and is assessing a child who has just been diagnosed with juvenile idiopathic arthritis. Which of the following statements about the disease is most accurate? A. The child has a poor chance of recovery without joint deformity. B. Most children progress to adult rheumatoid arthritis. … Read More »
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 »