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.

Nursing Test Bank

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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.

A. Vas deferens B. Scrotum C. Prostate D. Testis

Correct Answer is C

Explanation

A. Vas deferens is a duct that transports sperm from the epididymis to the ejaculatory duct but isn't an accessory glandular structure.
B. Scrotum is the sac of skin that houses the testes but isn't an accessory gland.
C. The prostate gland is an accessory glandular structure in males responsible for producing part of the seminal fluid.
D. Testis is the primary male reproductive organ responsible for sperm production but isn't an accessory gland.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

The nurse is assessing the male genital organ. The nurse recognizes that which of the following is an accessory glandular structure for the male genital organs?

Correct Answer is C

Explanation

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

A nurse is assessing a client's cranial nerves as part of a neurological examination. Which of the following actions should the nurse take to assess cranial nerve III?

The nurse teaches a client that there are shock absorbers in the back to cushion the spine and to help it move. The client understands that which of the following is another name for shock absorbers:

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?

The nurse is providing health promotion teaching to a group of clients. The nurse should include in her teaching which of the following populations has a greater risk factor for osteoporosis.

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.

The physician comments that the client has abdominal borborygmic. The nurse recognizes that which of the following is the best description of borborygmic?