A nurse is caring for a client with severe bilateral lower extremity edema.

Nursing Assessment:

The client drove self to the Emergency Department. Stated, "My legs are swollen like balloons and I can hardly walk." The client has bilateral 4+ pitting edema from feet to knees. The nurse is preparing to assess the client's medical history. Which of the following should the nurse recognize to be the underlying cause of lower extremity edema?

Heart failure

Excess fluid retention

Excess fluid consumption

Pulmonary embolism

Answer and Explanation

The Correct Answer is A

A.   Heart failure can lead to fluid accumulation in the legs due to the heart's inability to effectively pump blood, causing increased pressure in the veins.
B.   Excess fluid retention or consumption might cause edema, but heart failure specifically impacts the heart's pumping function.
C.   Excess fluid consumption might contribute to temporary edema, but severe bilateral lower extremity edema is more likely due to a systemic issue like heart failure.
D.   While a pulmonary embolism can lead to edema in the legs, it typically presents with sudden onset and might not present with bilateral edema from feet to knees.

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Correct Answer is C

Explanation

A. This option inaccurately includes "electrical impulse stimulators," which is not a recognized component of the central nervous system. The central nervous system comprises the brain and spinal cord.
B. The hypothalamus and cerebral nerves are parts of the nervous system but do not represent the entirety of the central nervous system.
C. The central nervous system consists specifically of the brain and spinal cord, responsible for coordinating and processing sensory information.
D. The peripheral and autonomic components belong to the broader nervous system but are not part of the central nervous system.

A. Brainstem B. Cerebellum C. Extrapyramidal tract D. Thalamus

Correct Answer is B

Explanation

A. The brainstem is responsible for basic life functions like breathing and heart rate but isn't primarily associated with balance and coordination.
B. The cerebellum plays a crucial role in coordination, balance, and fine motor control. Issues here can result in problems with balance and coordination.
C. The extrapyramidal tract involves motor control but is not specifically responsible for balance and coordination.
D. The thalamus primarily serves as a relay center for sensory information but is not directly related to balance and coordination.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The student nurse is studying the functioning of the nervous system. Which of the following descriptions of the central nervous system is accurate?

Correct Answer is C

Explanation

A client tells the nurse about being very unsteady and has difficulty in maintaining balance. The nurses recognize which area of the brain is involved and require further assessment.

Correct Answer is B

Explanation

A nurse is educating a client about blood cell formation in the body. The nurse documents the education and refers to blood cell formation as?

During a community screening event for bone density, an elderly client asked the nurse why she is an inch shorter in height. Which of the following responses by the nurse is correct?

During an abdominal assessment, the nurse elicits tenderness on light palpation in the right lower quadrant. The nurse recognizes that this finding could indicate a problem with which organ?

A male client with possible fertility problems asks the nurse where sperm is produced. Which answer should the nurse give the client?

The nurse has completed a peripheral vascular assessment on a client. Which of the following would the nurse document as expected findings?

The nurse is assessing a female client who reports painful menstruation. Which of the following should the nurse document in the client's record about painful menstruation?

A nurse is assessing a client's fingers. The client complains of a swollen, painful knuckle and not being able to remove a ring from that finger. The nurse recognizes which of the following is the correct term for the affected joint.

A client drove himself to the urgent care center for, "Legs that look like balloons and difficulty walking." The nurse assesses 4+ edema of both legs based upon which finding?