Question 1 1pts A patient has hypersplenism. How should the nurse explain this to the patient? In this disease, which is related to the spleen, the

QuestionAnswered step-by-stepQuestion 11 ptsA patient has hypersplenism. How should the nurse explain this to the patient? In this disease, which is related to the spleen, the spleen is:Group of answer choicessmall.encapsulated.overacting.removed. : Question 2Question 21 ptsWhich symptoms should the nurse assess for in a patient with Hodgkin’s lymphoma?Group of answer choicesHeadache, visual changes, and hearing lossNight sweats, low-grade fevers, and weight lossHypertension, tachycardia, and chest painHematuria, flank pain, and ascites Flag question: Question 3Question 31 ptsA patient has a thrombosis. While reviewing the history, the nurse found the patient has atherosclerosis. To which component of the Virchow triad does the atherosclerosis correlate?Group of answer choicesEndothelial injuryStasis of bloodHypercoaguabilityVolume of blood Flag question: Question 4Question 41 ptsA nurse suspects that the patient is experiencing disseminated intravascular coagulation (DIC). Which laboratory test should the nurse ask the primary care provider to order?Group of answer choicesUrinalysisD-dimerArterial blood gasesPotassium Flag question: Question 5Question 51 ptsA patient has heparin-induced thrombocytopenia (HIT). Which condition is a priority to assess?Group of answer choicesPulmonary infarctionPulmonary hypertensionPulmonary edemaPulmonary embolism Flag question: Question 6Question 61 ptsA patient has acute leukemia. A nurse recalls the cell most affected by this disease is a:Group of answer choicesmature cell.blast cell.differentiated cell.hypochromic cell. Flag question: Question 7Question 71 ptsA patient has acquired immunodeficiency syndrome (AIDS). Which laboratory report should the nurse monitor closely in this patient?Group of answer choicesSodium levelsUrine analysisLymphocyte countsSchilling test Flag question: Question 8Question 81 ptsA patient has non-Hodgkin’s lymphoma (NHL). When the nurse is reviewing the history, which finding is a risk factor for NHL?Group of answer choicesAppendectomy 1 year agoBacterial infectionHeart diseaseOrgan transplant 2 years ago Flag question: Question 9Question 91 ptsA patient has multiple myeloma. Which area in the body does the nurse closely monitor for the tumor masses?Group of answer choicesLungBrainBonesLiver Flag question: Question 10Question 101 ptsA nurse is asked why patients with liver disease typically have bleeding problems. What is the nurse’s best answer? The bleeding problems are the result of:Group of answer choicesthrombocytopenia and abnormal platelet functioning.increased protein C levels.decreased fibrinolytic activity.hypertension and fluid overload. Flag question: Question 11Question 111 ptsA nurse is describing insulin resistance in relation to hypertension. Which information should the nurse include? Insulin resistance is associated with overactivity of the sympathetic nervous system and the:Group of answer choicesremodeling of arterial luminal walls.amino acid, homocysteine.renin-angiotensin-aldosterone system.increased afterload effect. Flag question: Question 12Question 121 ptsIf a patient has secondary hypertension, the nurse realizes that the patient has an abnormal blood pressure caused by:Group of answer choiceselevated levels of LDL.high sodium intake.genetics.an underlying disease. Flag question: Question 13Question 131 ptsWhich statement indicates that the nurse needs more teaching about complications of sustained hypertension? One complication of sustained hypertension is:Group of answer choicesretinal damage.stroke.renal disease.anemia. Flag question: Question 14Question 141 ptsA nurse is teaching about obesity and adipokines. Which information should the nurse include? Obesity causes a decrease of:Group of answer choicesleptin.adiponectin.homocysteine.C reactive protein. Flag question: Question 15Question 151 ptsOver time, if a patient has sustained hypertension, which complication should the nurse expect in this patient?Group of answer choicesInsulin resistanceLeft ventricular hypertrophyExcessive excretion of fluid by the kidneysHormone dysfunction Flag question: Question 16Question 161 ptsA patient has atherosclerosis. Which factor associated with endothelial injury will the nurse observe written in the history?Group of answer choicesAnemiaAutoimmunityBP 110/70Nonsmoker Flag question: Question 17Question 171 ptsThe nurse recalls risk factors that are associated with atherosclerosis. These include primary hypertension and:Group of answer choicesa high-sodium diet.advanced age.hyperhomocysteinemia.a low-potassium diet. Flag question: Question 18Question 181 ptsA nurse is asked what causes Prinzmetal angina. How should the nurse respond? Prinzmetal angina is caused by:Group of answer choicesblood clots in the coronary artery.hypoxemia from respiratory disease.vasospasm.deep vein thromboses. Flag question: Question 19Question 191 ptsA nurse is describing the pathophysiology of atherosclerosis. Which information should the nurse include? The main white blood cell that plays a role in the development of the fatty streak in atherosclerosis is the:Group of answer choicesmast cell.neutrophil.macrophage.lymphocyte. Flag question: Question 20Question 201 ptsWhich of the following guidelines from the Seventh Joint National Committee Report (JNC VII), should the nurse use to determine normal blood pressure in a patient?Group of answer choicesSystolic pressure greater than 140 mm Hg and diastolic pressure greater than 90 mm HgSystolic pressure less than 150 mm Hg and diastolic pressure less than 100 mm HgSystolic pressure less than 120 mm Hg and diastolic pressure less than 80 mm HgSystolic pressure greater than 130 mm Hg regardless of diastolic pressure Flag question: Question 21Question 211 ptsA nurse recalls that a high ventilation/perfusion (V/Q) ratio can be caused by:Group of answer choicesdecreased ventilation.alveolar collapse.obstruction to pulmonary blood flow.bronchoconstriction. Flag question: Question 22Question 221 ptsWhen conducting a physical assessment of a patient during an acute asthma episode, the nurse would expect to observe:Group of answer choicesparalysis of accessory breathing muscles.bradypnea.pulsus paradoxus.eupnea. Flag question: Question 23Question 231 ptsA patient has a decreased drive to breathe. Which condition should the nurse monitor for in this patient?Group of answer choicesHyperglycemiaHyperpneaHypercapniaHyperventilation Flag question: Question 24Question 241 ptsA patient in the emergency room reports coughing up blood, night sweats, and recently “feeling tired all of the time.” The patient is feverish. Which medical condition does the nurse suspect the patient is experiencing?Group of answer choicesViral pneumoniaA pulmonary embolusTuberculosisAspiration pneumonia Flag question: Question 25Question 251 ptsA patient has a pneumothorax. Which action by the nurse is most important for this patient?Group of answer choicesAdministering an anticoagulantAmbulating the patientMonitoring the chest tubeEncouraging coughing and deep breathing Flag question: Question 26Question 261 ptsA nurse is describing the pathophysiology of acute respiratory distress syndrome (ARDS). Which information should the nurse include? All disorders associated with ARDS cause massive pulmonary:Group of answer choiceshyperresponsivenesssuppuration.inflammation.exophytosis. Flag question: Question 27Question 271 ptsWhich of the following patients is at highest risk for developing a pulmonary embolism?Group of answer choicesA 25-year-old male with asthmaA 28-year-old female in the first trimester of pregnancyA 42-year-old female with a broken armA 67-year-old male hospitalized with a deep vein thrombosis in the femoral vein Flag question: Question 28Question 281 ptsUnderlying the pathophysiology of ARDS is massive pulmonary:Group of answer choiceshyperventilation.inflammation.high V/Q ratio.alveolar dead space. Flag question: Question 29Question 291 ptsWhich term will the nurse use to describe hypertrophy of the nailbeds due to chronic hypoxemia?Group of answer choicesHemoptysisClubbingCyanosisA bulla Flag question: Question 30Question 301 ptsA patient has adenocarcinoma of the lungs. What type of cancer does this patient have?Group of answer choicesA tumor arising from the lung glandsSmall cell carcinomaTumors in the larynx and vocal cordSubtle tumors of the lip and mouthHealth ScienceScienceNursingPATHOPHYSIOLOGY 225-10Share Question