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An older adult complains of sudden onset of dyspnea
and coughing. Cough produces pink-tinged frothy
sputum. tachycardia, pallor, and feelings of impending
doom are also present. Of the following which is the
most likely diagnosis?
tuberculosis pulmonary
embolus bronchitis
COPD
Correct Answer: pulmonary
embolus
Pulmonary embolus is characterized by all of the
symptoms set forth in the question. Any condition that
increases risk of blood clots will increase risk of PE. These
patients have a history of atrial fibrillation, estrogens,
surgery, pregnancy, long bone fractures, and prolonged
inactivity.
1
lOMoAR cPSD| 4463289 In terms of blood pressure control, in patients aged 60
years and older, treatment for hypertension should be
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started when
SBP ≥ 150 and DBP ≥ 90
SBP ≥ 120 and DBP ≥ 90
SBP ≥ 110 and DBP ≥ 80
SBP ≥ 150 and DBP ≥ 80 Correct
Answer:
SBP ≥ 150 and DBP ≥ 90
In patients aged 60 years and older, treatment for
hypertension should be started when SBP ≥ 150 and DBP
≥ 90. After initiation of pharmacological treatment, the
patient should be reevaluated within a month.
A patient
has lost weight but swears she has been eating
regularly. Which type of assessment would you use
before making a definitive diagnosis?
Nutrition.
NGASR.
Sleep.
Psychosocial.
Correct Answer:
Nutrition.
Poor body image may be related to a nutrition imbalance.
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There may also be other factors that affect the imbalance.
A nutrition assessment will help determine the patient's
attitude towards food.
Gastric parietal cells secrete which of the following?
mucous
hydrochloric acid
blood cells lymphatic
fluid Correct Answer:
hydrochloric acid
Gastric parietal cells
secrete hydrochloric
acid. This is mediated
lOMoAR cPSD| 44632891
by histamine2-receptor
sites.
A cancer in which there is extensive local and regional
spread is in which stage?
Stage I
Stage II
Stage III
Stage IV
Correct answer:
Stage III
Staging classifies the clinical aspects of the cancer and
the degree of metastasis at diagnosis. A cancer with
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extensive local and regional spread is a Stage III cancer.
Which of the following do you NOT use to determine
priorities?
Health concerns and strength
Self-actualization.
Maslow's hierarchy.
Moral and ethical issues.
Correct Answer:
Self-actualization.
Maslow's hierarchy of needs includes self actualization.
Nurses use the other answer choices to prioritize
diagnosis and action.
Which potential diagnosis would you give a patient
who wrings his or her hands during the interview?
Ineffective coping.
Anxiety.
Disturbed personal identity.
Infection risk.
Correct answer:
Anxiety
The patient wringing his or her hands is an objective
lOMoAR cPSD| 44632891
system. This signals anxiety even if the patient does not
mention feeling anxious. The diagnosis should be
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