A nurse is assessing a client who has an abdominal aortic aneurysm. Which of the following signs or symptoms indicates that the aneurysm has dissected?
a. Jugular venous distention
b. Lumbar pain that radiates to the groin
c. Dry cough and stridor
d. Cardiac murmur
b. Lumbar pain that radiates to the groin
rationale: "Lumbar pain that radiates to the groin" is correct. An abdominal aortic aneurysm is a bulge in the wall of the aorta, specifically in the abdominal area of the vessel. A dissection occurs when the vessel wall tears and the client bleeds internally. When this occurs the client will deteriorate rapidly, as the abdominal aorta is a high pressure artery through which the entire blood supply to the lower body travels. This is a life-threatening condition warranting immediate medical treatment. The most common signs of an abdominal rupture of an aneurysm are low back pain that radiates to the groin and abdominal pain.
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After assessing a child's blood pressure, the nurse determines the pulse pressure and finds that it is narrowed. Which of the following would the nurse identify as associated with this finding?
A) Aortic stenosis B) Patent ductus arteriosus C) Aortic insufficiency D) Complete heart block
Several state nursing associations are working together in an attempt to change a constitutional law. How is constitutional law changed?
1. By amendment 2. By repeal 3. By expansion 4. By redefinition
A major reason for LPN/LVN graduates to join nursing organizations is that membership
a. keeps one updated on issues that affect practical nursing. b. enhances one's standing among registered nurses. c. provides an opportunity to draft legislation for health care workers. d. encourages practical nurses to expand their social horizons.
The patient is to receive phenytoin (Dilantin) at 0900 . The nurse knows that the ideal time to draw a trough level is
a. 0800. b. 0830. c. 0900. d. 0930.