A patient is diagnosed with atherosclerosis. The nurse realizes that this inflammatory disorder injures which layer of the arteries?
1. tunica media
2. tunica adventitia
3. tunica intima
4. all three layers
3
Rationale: Atherosclerosis is a chronic inflammatory disorder associated with injury to the intimal lining. It is a progressive disease characterized by formation of plaque in the intimal lining of medium and large arteries, including those in the aorta and its branches, the coronary arteries, and large vessels that supply the brain. The other choices are incorrect.
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The nurse may need to assist a client with his or her meals. Certain groups of people frequently require help, including:(Select all that apply) Standard Text: Select all that apply
1. Clients with visual impairments 2. Clients with auditory impairments 3. Clients who cannot walk 4. Clients who must remain in a back lying position 5. Clients with impaired fine motor skill
A group of nurses go out to eat lunch. Which of the following dinner choices is the healthiest?
A) Baked chicken breast, salad with dressing on the side, steamed broccoli, and fresh fruit cup B) Lacto-vegetarian pizza C) Breaded fish fillet, creamed corn, steamed spinach, and a small tossed salad with ranch dressing D) Angel hair pasta with Alfredo sauce, steamed broccoli, cauliflower, and carrots, dinner roll with low-fat margarine
Which clinical manifestation should the nurse expect to see as shock progresses in a child and becomes decompensated shock?
a. Thirst b. Irritability c. Apprehension d. Confusion and somnolence
A new client admits to having been battered by her live-in boyfriend several times over the past 2 years. She states to the nurse, "We plan to get married next June, and I think things will be better then
He is always so sorry afterward, that I think I can trust him to change." Which intervention should be included in the client's teaching plan? 1. Support her hope that the battering will end after they are married. 2. Assist her to enroll in a class to learn techniques of self-defense. 3. Emphasize that the battering pattern usually remains the same in frequency and severity over time. 4. Assist her in developing an emergency plan, since the pattern of violence is likely to continue.