During physical examination of an ambulatory patient, the nurse finds elevated blood pressure, pulmonary crackles that do not clear with cough, jugular venous distention, liver congestion and enlargement, an S3 heart sound, and pitting edema of the
feet and lower legs. What is the most likely cause of this group of findings?
A) Fluid volume deficit
B) Fluid volume excess
C) Hyponatremia
D) Leukocytosis
B
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A patient with a T-2 injury is in spinal shock. The nurse will expect to observe what assessment finding?
A) Absence of reflexes along with flaccid extremities B) Positive Babinski's reflex along with spastic extremities C) Hyperreflexia along with spastic extremities D) Spasticity of all four extremities
The checkout station for preparticipation physical evaluation is critical because at this point:
a. all completed forms are distributed. b. parental signatures are obtained. c. the relevant history is obtained. d. the coordination of follow-ups is re-viewed.
The nurse reviewing the records of a client notes that he does not have a history of benign prostatic hyperplasia but is receiving finasteride (Proscar). Which assessment question should the nurse ask the client?
A. "Do you have male pattern baldness?" B. "Do you have erectile dysfunction?" C. "Do you have a stomach ulcer?" D. "Do you have high blood pressure?"
A mother has a child that is diagnosed with sickle cell anemia. While the mother does not have the disease, which characteristic of her genetic makeup is responsible for the child's disease?
a. Hb S and Hb S b. Hb S and Hb A c. Hb S and Hb C d. Hb A and Hb C