Examsrevision

MULTIPLE CHOICE 1. The nurse is caring for a patient who recently suffered a cerebrovascular accident (CVA). Family members ask the nurse why their father had a seizure. Which response is best for the nurse to make? a. “The seizure was most likely caused by brain cells being deprived of oxygen due to a blood clot in the brain.” b. “The stroke generated a toxin that excites the brain cells.” c. “The stroke causes an alteration in the cells adjacent to the blood clot.” d. “The...

MULTIPLE CHOICE 1. The nurse is explaining Parkinson disease to the student nurse. Which statement indicates that the student nurse correctly understands the pathophysiology of the disease? a. “Regardless of the actual etiology, Parkinson disease is caused by depletion of dopamine and excess of acetylcholine.” b. “The pathophysiology of the disease is caused by the deterioration of the myelin sheath of the basal ganglia.” c. “Excess dopamine and deficient acetylcholine are the ca...

MULTIPLE CHOICE 1. The nurse is caring for a patient who recently suffered a cerebrovascular accident (CVA). Family members ask the nurse why their father had a seizure. Which response is best for the nurse to make? a. “The seizure was most likely caused by brain cells being deprived of oxygen due to a blood clot in the brain.” b. “The stroke generated a toxin that excites the brain cells.” c. “The stroke causes an alteration in the cells adjacent to the blood clot.” d. “The...

MULTIPLE CHOICE 1. The nurse describes a concussion as a closed head injury in which: a. The brain tissue is bruised. b. No loss of consciousness occurs. c. There is amnesia related to the incident. d. There are no subsequent symptoms. ANS: C A concussion is a closed head injury in which there is a brief disruption of consciousness, amnesia, and subsequent headaches that may last for several weeks. PTS:1 DIF: Cognitive Level: Comprehension REF: 501, Figure 22-1 OBJ:1 (theory) TOP:...

deWit: Medical-Surgical Nursing: Concepts and Practice, 3rd Edition Chapters _11_12_13_14_15_16_17_18_19_20_

MULTIPLE CHOICE 1. The nurse is caring for a patient with angina pectoris who asks what happens to make his body experience pain. The nurse explains that pain results from which underlying causative factor? a. Congestion that backs up into the lungs b. Inadequate blood flow and poor oxygen supply c. Edema from fluid overload d. Inflammation in the vessels ANS: B Angina pectoris (chest pain) occurs when blood supply to the heart is decreased or totally obstructed. Pain results from isc...

MULTIPLE CHOICE 1. The nurse is caring for a patient with suspected right-sided heart failure. Which manifestation best supports this potential diagnosis? a. Wheezing b. Orthopnea c. Edema d. Pallor ANS: C Right-sided heart failure leads to edema from systemic backup. Wheezing, orthopnea, and pallor are indicative of left-sided failure. PTS:1 DIF: Cognitive Level: Comprehension REF: 426, Table 19-2 OBJ:1 (theory) TOP: Heart Failure: Right Side KEY: Nursing Process Step: Assessment...

MULTIPLE CHOICE 1. The nurse is educating a female patient with a family history of coronary artery disease (CAD) about risk factors andprevention of heart disease in women. Which information is most important for the nurse to include? a. Women should maintain a body mass index (BMI) of less than 28. b. Women should utilize estrogen supplementation to decrease risk of heart disease. c. Women should drink one alcoholic beverage daily. d. Women should incorporate stress reduction techniques...

MULTIPLE CHOICE 1. Which blood pressure findings constitute a diagnosis of hypertension? a. 120/80 2, 2 weeks apart b. 140/90 2, 2 weeks apart c. 120/80 on 3 consecutive days d. 140/90 every day for a week ANS: B A diagnosis of hypertension is made if the systolic pressure is equal to or greater than 140 mm Hg and the diastolic pressure is equal to or greater than 90 mm Hg at least twice on two different occasions 2 weeks apart. PTS: 1 DIF: Cognitive Level: Comprehension REF: 396 O...

MULTIPLE CHOICE 1. The nurse is caring for a 79-year-old male who underwent a gastrectomy 1 month ago. The nurse recognizes that this patient is at the greatest risk for which type of anemia? a. Aplastic anemia b. Pernicious anemia c. Iron deficiency anemia d. Nutritional anemia ANS: B Pernicious anemia may result from the lack of the intrinsic factor found in the stomach lining. Without the intrinsic factor, the body is unable to absorb vitamin B12. Aplastic anemia is related to bone...