Fundamental Concepts and Skills for Nursing Test Bank

Questions 15

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Fundamental Concepts and Skills for Nursing Test Bank Questions

Question 1 of 5

The nurse caring is caring for a client who is recovering from a hysterectomy. Which clinical manifestation supports that the client is experiencing a pulmonary embolism (PE)?

Correct Answer: C

Rationale: Pulmonary embolism (PE) is a serious condition where a blood clot travels to the lungs and blocks blood flow, which can be life-threatening. Common clinical manifestations of PE include sudden onset of dyspnea (difficulty breathing), chest pain (sharp, stabbing pain that may worsen with deep breaths), tachypnea (rapid breathing), tachycardia (rapid heart rate), and possibly cough or hemoptysis (coughing up blood). In the context of a client recovering from a hysterectomy, it is crucial to recognize the signs of PE as early intervention is essential to prevent serious complications. Nausea, decreased urine output, and activity intolerance are not typical clinical manifestations of a pulmonary embolism and should not be the primary focus when suspecting a PE in this scenario.

Question 2 of 5

The nurse is assessing a client being treated for congestive heart failure (CHF). Which physical findings would indicate that the client's condition is not improving? Select all that apply.

Correct Answer: D

Rationale: Wheezing breath sounds in all lobes indicate airway obstruction or narrowing, which may be a sign of worsening heart failure leading to pulmonary congestion. Wheezing can be a result of fluid accumulation in the lungs (pulmonary edema) due to inadequate pumping of the heart in CHF. Monitoring for respiratory symptoms such as wheezing is crucial in assessing the effectiveness of treatment for congestive heart failure. In this case, the presence of wheezing suggests that the client's condition is not improving and requires further evaluation and intervention.

Question 3 of 5

The nurse caring is caring for a client who is recovering from a hysterectomy. Which clinical manifestation supports that the client is experiencing a pulmonary embolism (PE)?

Correct Answer: C

Rationale: Pulmonary embolism (PE) is a serious condition where a blood clot travels to the lungs and blocks blood flow, which can be life-threatening. Common clinical manifestations of PE include sudden onset of dyspnea (difficulty breathing), chest pain (sharp, stabbing pain that may worsen with deep breaths), tachypnea (rapid breathing), tachycardia (rapid heart rate), and possibly cough or hemoptysis (coughing up blood). In the context of a client recovering from a hysterectomy, it is crucial to recognize the signs of PE as early intervention is essential to prevent serious complications. Nausea, decreased urine output, and activity intolerance are not typical clinical manifestations of a pulmonary embolism and should not be the primary focus when suspecting a PE in this scenario.

Question 4 of 5

The nurse provides medication teaching for a client who will be going home on new medications. Which statement by the client best illustrates compliance with the medication plan?

Correct Answer: C

Rationale: The statement "If I take my medications as prescribed, I'll feel better" best illustrates compliance with the medication plan. This statement shows an understanding of the importance of following the prescribed medication regimen and the potential positive outcomes of adherence to the plan. It demonstrates the client's willingness to adhere to the instructions given by the nurse, which is essential for successful medication management and treatment outcomes.

Question 5 of 5

What characteristic of veins increases the risk for the development of a thrombus?

Correct Answer: A

Rationale: Low blood flow in veins increases the risk for the development of a thrombus. When blood flow is slow or stagnant in veins, it can lead to the formation of blood clots or thrombi. This risk is further heightened in individuals who have conditions that affect blood flow, such as being sedentary or having a condition that impairs circulation. Thrombi can pose serious health risks if they break off and travel to other parts of the body, potentially causing blockages or even life-threatening complications like pulmonary embolism. Thus, low blood flow in veins is a key characteristic that increases the risk for thrombus formation.

Similar Questions

What characteristic of veins increases the risk for the development of a thrombus?
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An older adult client is diagnosed with cardiomyopathy and a cardiac dysrhythmia. What would the nurse expect to be prescribed for this client?

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