A nurse is assessing a patient with congestive heart failure that has shortness of breath.
Patients with heart disease can have fluid accumulate in the lungs.
This is called.
Pneumonia.
Asthma.
Pulmonary edema.
Ascites.
The Correct Answer is C
Choice A rationale:
Pneumonia is an infection in the lungs, not fluid accumulation due to heart disease.
Choice B rationale:
Asthma is a chronic condition causing inflammation and narrowing of the bronchial tubes, not fluid accumulation.
Choice C rationale:
Pulmonary edema is the correct answer. It’s a condition caused by excess fluid in the lungs, which can be a complication of heart disease.
Choice D rationale:
Ascites is fluid accumulation in the abdomen, not the lungs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
The first step when a medication error occurs is to assess the client. This is to ensure the safety of the patient and to monitor for any adverse effects.
Choice B rationale:
Reporting the error to the nurse manager is important, but it is not the first step. Patient safety is the priority.
Choice C rationale:
Notifying the provider is crucial, but it comes after ensuring the patient’s safety.
Choice D rationale:
Completing an incident report is a later step in the process. The immediate concern is the patient’s wellbeing.
Correct Answer is B
Explanation
Choice A rationale:
Being inquisitive might make the patient feel interrogated and could discourage them from disclosing their herbal use.
Choice B rationale:
A non-judgmental approach encourages open communication and makes the patient feel comfortable to disclose their herbal use.
Choice C rationale:
Being determined might make the patient feel pressured and could discourage them from disclosing their herbal use.
Choice D rationale:
Being instructive might make the patient feel lectured and could discourage them from disclosing their herbal use.
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