Mrs. Stanton is a 79-year-old widow who presents to your office for a routine BP visit. You note a new pulsatile mass in the right neck at the carotid artery. Which of the following is the most likely cause for this?
A) Anxiety
B) Carotid artery aneurysm
C) Kinking of the artery
D) Tortuous aorta
C) Kinking of the artery
While a carotid artery aneurysm is a possibility, it is more likely due to kinking of the carotid artery in this patient with HTN. A tortuous aorta will sometimes cause elevation of the left jugular vein by impairing drainage within the thorax.
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A nurse is interviewing a mother of two children, ages 5 and 14. They were in a hotel fire a year ago in which their father was killed. The mother is concerned because the younger child has nightmares
The older child does not seem to have any problems. What action by the nurse is the most appropriate? A. Ask the mother about physical injuries to the children. B. Determine if the mother sought counseling after the fire. C. Focus the appointment on the younger child only. D. Inquire if the older child avoids hotels, even on television.
A patient with small cell lung cancer (SCLC) has developed a paraneoplastic syndrome called Cushing syndrome. Based on this new complication, the nurse will likely assess which of the following clinical manifestations of Cushing syndrome?
A) Weight gain, moon face, buffalo hump, and purple striae on the abdomen B) Bilateral edema in the arms, swollen face, and protruding eyes C) Severe bone/joint pain, nausea/vomiting, and polyuria D) Tetany, new-onset seizure activity, emotional lability, and extrapyramidal symptoms
A patient with genital herpes is experiencing increased pain with urination. What should the nurse suggest to the patient to manage this symptom?
1. Drink more water. 2. Drink more cranberry juice. 3. Drink more orange juice. 4. Restrict fluids.
A pregnant woman needs an update in her immunizations. Which of the following vaccinations would the nurse ensure that the woman receives?
A) Measles B) Mumps C) Rubella D) Hepatitis B