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Pathophysiology
Week 9-11
Question | Answer |
---|---|
Which assessment finding is typical in a patient with multiple myeloma (MM)? | Hypercalcemia |
A primary care provider tells the nurse that a patient has a shift to the left. Which type of patient will the nurse be caring for? A patient with a: | bacterial infection. |
Which laboratory result will be elevated in a patient with disseminated intravascular coagulation (DIC)? | Fibrin degradation products |
A patient has heparin-induced thrombocytopenia (HIT). Which condition is a priority to assess? | Pulmonary embolism |
A nurse suspects that the patient is experiencing disseminated intravascular coagulation (DIC). Which laboratory test should the nurse ask the primary care provider to order? | D-dimer |
When a nurse observes a platelet count of 9,000/mm3, which condition must the nurse monitor for in this patient? | Spontaneous bleeding |
A patient has acute leukemia. A nurse recalls the cell most affected by this disease is a: | blast cell. |
A patient has hypersplenism. How should the nurse explain this to the patient? In this disease, which is related to the spleen, the spleen is: | overacting |
A nurse is asked why patients with liver disease typically have bleeding problems. What is the nurse’s best answer? The bleeding problems are the result of: | thrombocytopenia and abnormal platelet functioning. |
A patient has multiple myeloma. Which area in the body does the nurse closely monitor for the tumor masses? | Bones |
An elderly patient asks the nurse what causes aortic stenosis later in life. How should the nurse respond? Aortic stenosis usually results from: | degeneration and calcification of the valve. |
A nurse is describing insulin resistance in relation to hypertension. Which information should the nurse include? Insulin resistance is associated with overactivity of the sympathetic nervous system and the: | renin-angiotensin-aldosterone system. |
If a patient's history indicates that the cardiac valve disease is autosomal dominant, which diagnosis will the nurse observe written in the chart? | Mitral valve prolapse |
Mitogens, such as angiotensin II, and growth factors stimulate: | smooth muscle proliferation |
A patient is diagnosed with chronic pulmonary disease and elevated pulmonary vascular resistance. Which of the following heart failures does the nurse assess for in this patient? | Right-sided heart failure |
A patient has atherosclerosis. Which factor associated with endothelial injury will the nurse observe written in the history? | Autoimmunity |
Over time, if a patient has sustained hypertension, which complication should the nurse expect in this patient? | Left ventricular hypertrophy |
Which laboratory results will cause the nurse to suspect coronary artery disease (CAD) in a patient? | Elevated level of LDL and decreased level of HDL |
Which principle should the nurse use to guide nursing care for a patient with aortic stenosis? Aortic stenosis results in the incomplete emptying of the: | left ventricle. |
Which statement indicates that the nurse needs more teaching about complications of sustained hypertension? One complication of sustained hypertension is: | anemia. |
A patient has recently developed chronic bronchitis. Which assessment finding is typical for this patient? | Productive cough |
A patient asks the nurse what is most closely associated with the development of lung cancer? How should the nurse respond? | Cigarette smoking |
Underlying the pathophysiology of ARDS is massive pulmonary: | inflammation. |
Which of the following patients is at highest risk for developing a pulmonary embolism? | A 67-year-old male hospitalized with a deep vein thrombosis in the femoral vein |
Which of the following patients is at highest risk for developing a pulmonary embolism? | obstruction to pulmonary blood flow. |
Pulmonary edema and atelectasis are examples of ______ pulmonary disease. | restrictive |
Which of the following conditions should the nurse monitor for in a patient with hypoventilation? | Hypercapnia |
A patient has a decreased drive to breathe. Which condition should the nurse monitor for in this patient? | Hypercapnia |
Which assessment finding indicates that the patient is experiencing dyspnea? | Feeling short of breath |