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Why is jugular venous distention a useful indicator for the assessment of the client's condition?

An 81-year-old female client of a long-term care facility has a history of congestive heart failure. The nurse practitioner caring for the client has positioned her sitting up at an angle in bed and is observing her jugular venous distention. Why is jugular venous distention a useful indicator for the assessment of the client’s condition? […]

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October 26, 2019 /0 Comments/by

Which of the following pathophysiologic results should the nurse anticipate?

A nurse who works on a pediatric cardiology unit of a hospital is providing care for an infant with a diagnosis of tetralogy of Fallot. Which of the following pathophysiologic results should the nurse anticipate? Answers: A. Blood outflow into the pulmonary circulation is restricted by pulmonic valve stenosis. B. There is a break in […]

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October 26, 2019 /0 Comments/by

Which of the following hypertensive individuals is most likely to have his or her high blood pressure diagnosed as secondary rather than essential?

Which of the following hypertensive individuals is most likely to have his or her high blood pressure diagnosed as secondary rather than essential? Answers: A. A 40-year-old smoker who eats excessive amounts of salt and saturated fats B. A 69-year-old woman with a diagnosis of cardiometabolic syndrome C. An African American man who leads a […]

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October 26, 2019 /0 Comments/by

“What caused this [aortic stenosis] to happen now?

A 72-year-old female has been told by her physician that she has a new heart murmur that requires her to go visit a cardiologist. Upon examination, the cardiologist informs the patient that she has aortic stenosis. After the cardiologist has left the room, the patient asks, “What caused this [aortic stenosis] to happen now?” The […]

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October 26, 2019 /0 Comments/by

Which of the following patients is most likely to have impairments to the wound-healing process?

Which of the following patients is most likely to have impairments to the wound-healing process? A patient with Answers: A. chronic obstructive pulmonary disease. B. congenital heart defects and anemia. C. poorly controlled blood sugars with small blood vessel disease. D. a diagnosis of multiple sclerosis and consequent impaired mobility. What Students Are Saying About […]

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October 26, 2019 /0 Comments/by

What is the most likely focus of the pharmacologic treatment of the man's health problem?

The geriatrician providing care for a 74-year-old man with diagnosis of Parkinson disease has recently changed the client’s medication regimen. What is the most likely focus of the pharmacologic treatment of the man’s health problem? Answers: A. Increasing the functional ability of the underactive dopaminergic system B. Maximizing acetylcholine release from synaptic vesicles at neuromuscular […]

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October 26, 2019 /0 Comments/by

Which of the following is his most likely diagnosis?

A 4-year-old boy presents with a chronic cough and swollen lymph nodes. His records show that he has been given antibiotics several times in the past year with limited success, most recently for a liver abscess, and that he also has a recurring fungal skin condition. Which of the following is his most likely diagnosis? […]

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October 26, 2019 /0 Comments/by

Which of the following statements best captures the relationship between the two types of genetic disorders?

Two health care workers are comparing the etiology and incidence of multifactorial inheritance disorders and single-gene disorders. Which of the following statements best captures the relationship between the two types of genetic disorders? Answers: A. “A couple with a child with a multifactorial disorder has a higher risk of having another with the same disorder.” […]

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October 26, 2019 /0 Comments/by

What teaching point would her care provider be most justified in emphasizing to the woman?

A 44-year-old female who is on her feet for the duration of her entire work week has developed varicose veins in her legs. What teaching point would her care provider be most justified in emphasizing to the woman? Answers: A. “Your varicose veins are likely a consequence of an existing cardiac problem.” B. “Once you […]

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October 26, 2019 /0 Comments/by

At 4 AM, the hemodynamic monitor for a critically ill client in the intensive care unit indicates that the client's mean arterial pressure is at the low end of the normal range; at 6 AM, the client's MAP has fallen definitively below normal. The client is at risk for

At 4 AM, the hemodynamic monitor for a critically ill client in the intensive care unit indicates that the client’s mean arterial pressure is at the low end of the normal range; at 6 AM, the client’s MAP has fallen definitively below normal. The client is at risk for Answers: A. left ventricular hypertrophy. B. […]

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October 26, 2019 /0 Comments/by