A nurse is assessing a client who has valvular dysfunction. Which of the following manifestations should the nurse anticipate? (Select All That Apply)

Varicose veins

Heart murmur

Palpitations

Abdominal pain

Chest pain

Answer and Explanation

Correct Answer : B,C,E

A. Varicose veins: Varicose veins are dilated, twisted veins that commonly occur in the legs and are typically associated with venous insufficiency or venous valve dysfunction rather than valvular dysfunction of the heart.

B. Heart murmur: This is the correct answer. Valvular dysfunction can result in abnormal blood flow patterns across the heart valves, leading to turbulent blood flow and the production of audible heart murmurs upon auscultation.

C. Palpitations: Palpitations, or the sensation of rapid, pounding, or irregular heartbeats, can occur with valvular dysfunction, particularly if the dysfunction leads to alterations in heart rhythm or cardiac output.

D. Abdominal pain: Abdominal pain is not typically associated with valvular dysfunction. It may be a symptom of various gastrointestinal or abdominal conditions, but it is not a direct manifestation of valvular heart disease.

E. Chest pain: This is the correct answer. Chest pain can occur with valvular dysfunction, especially if the dysfunction leads to inadequate blood flow to the heart muscle (ischemia), which can cause angina or chest discomfort.

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Correct Answer is ["B","C"]

Explanation

A. Increased number of individuals utilizing technology in their homes: While technology use may impact various aspects of cognitive function and mental health, there is insufficient evidence to suggest a direct correlation between technology use and the growing numbers of clients diagnosed with dementia.

B. Increased number of the population living longer: One of the primary risk factors for dementia is advancing age. As the population ages and life expectancy increases, there is a higher prevalence of dementia due to the age-related degenerative changes in the brain.

C. Increased number of Americans over the age of 65: Aging is the most significant risk factor for dementia. The aging population, particularly those over 65 years old, is experiencing a higher prevalence of dementia due to age-related changes in the brain.

D. Increased number of the population traveling abroad: There is no direct association between traveling abroad and the growing numbers of clients diagnosed with dementia in the United States. While certain environmental factors or exposures may influence dementia risk, travel patterns are not considered a significant contributing factor to the overall prevalence of dementia.

E. Increased number of Americans attending college: There is no evidence to suggest a direct link between attending college and the prevalence of dementia. Educational attainment may have a protective effect against dementia, but it is not a factor driving the growing numbers of diagnoses in the United States.

A. Leave the client alone while ensuring safety, to allow the client to work through behaviors and feelings during the transition period. B. Provide opportunities for education and continually evaluate the client's preferences and goals for care. C. Limit the members of the team who can help the client while transitioning, to avoid adding confusion or uneasiness. D. Inform the client about the need to move prior to the actual event.

Correct Answer is B

Explanation

B. Provide opportunities for education and continually evaluate the client's preferences and goals for care:
This is the most effective intervention. Providing education and involving the client (to the extent possible) in decision-making helps reduce anxiety and build trust. Even though individuals with Alzheimer's disease may have limited memory and cognitive abilities, ongoing communication about the transition and individualized care plans can help ease the process. Additionally, continuously evaluating the client's preferences and goals ensures that the care plan remains person-centered and aligns with their needs, helping to minimize relocation stress.

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A nurse is assessing a client who has valvular dysfunction. Which of the following manifestations should the nurse anticipate? (Select All That Apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a group of clients with dementia. The nurse recognizes which of the following factors as reasons for the growing numbers of clients diagnosed with dementia in the United States? (Select All that Apply.)

Correct Answer is ["B","C"]

Explanation

A nurse is caring for a client who has Alzheimer's disease and is going to transition from home to a skilled nursing facility. Which of the following interventions should the nurse incorporate into the plan of care to help the client with this transition and avoid relocation stress syndrome?

Correct Answer is B

Explanation

A nurse is teaching a client who has arrhythmogenic cardiomyopathy about the risk for sudden cardiac death. Which of the following client statements indicates to the nurse an understanding of the teaching?

A nurse admits a client who has a subarachnoid hemorrhage and increased intracranial pressure (ICP). Which of the following medications should the nurse expect to administer to decrease ICP?

A nurse is providing teaching to a client who has atrial fibrillation and reports dizziness and palpitations. Which of the following should the nurse understand is the cause of these manifestations?

The nurse is assisting with planning care for a client who has a subarachnoid hemorrhage (SAH). Which of the following relates to a high mortality rate for a client who has an SAH?

A nurse is planning care for a client who has peripheral venous disease. Which of the following interventions should the nurse include in the plan of care? (Select All that Apply.)

A nurse is reviewing home medications with a client scheduled for a cataract extraction procedure. Which of the following medications should the nurse question administering?

The nurse is providing care to a client who has survived cardiac arrest Which of the following manifestations should alert the nurse to the development of PCAS?

A nurse is teaching several newly licensed nurses about cardiac valve replacement. Which of the following should the nurse include in the teaching?