A nurse is reinforcing teaching to a group of nursing students about causes of traumatic brain injuries (TBIs). Which of the following should the nurse include in the teaching? (Select All that Apply.)

Falls

Violence

Sports-related injuries

Working as a firefighter

Working in a factory

Answer and Explanation

Correct Answer : A,B,C

Answer: A, B, and C

Rationale: A) Falls: Falls are a leading cause of traumatic brain injuries (TBIs) across all age groups, especially among older adults and young children. Falls can occur due to various factors such as slipping, tripping, or accidents from heights.

B) Violence: Acts of violence, including assaults, gunshot wounds, and domestic abuse, are significant contributors to TBIs. These traumatic events can result in head injuries with varying degrees of severity, depending on the force and nature of the trauma.

C) Sports-related injuries: Participation in contact sports or activities with a risk of collision or impact, such as football, soccer, or cycling, can lead to TBIs. Athletes may experience concussions or more severe head injuries during games or practice sessions.

D) Working as a firefighter: While occupations like firefighting can expose individuals to hazardous situations, including fires and building collapses, they are not typically cited as primary causes of TBIs. However, firefighters may face head injury risks while performing their duties, especially during rescue operations or structural collapses.

E) Working in a factory: While accidents in industrial settings can lead to various injuries, including head trauma, they are not among the primary causes of TBIs. However, workers in factories or industrial environments may face risks associated with machinery accidents, falling objects, or workplace incidents.

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Correct Answer is A

Explanation

A. Atrial fibrillation: Atrial fibrillation is characterized by an irregularly irregular rhythm, absence of identifiable P waves, and irregular ventricular response. The heart rate in atrial fibrillation can be variable, and the absence of identifiable P waves indicates disorganized atrial electrical activity.

B. Sinus bradycardia: Sinus bradycardia is characterized by a regular rhythm with a heart rate less than 60 beats per minute (bpm) and normal P waves preceding each QRS complex. In sinus bradycardia, the PR interval and QRS duration are typically within normal limits.

C. Supraventricular tachycardia: Supraventricular tachycardia (SVT) is characterized by a regular rhythm with a heart rate greater than 100 bpm. SVT typically presents with narrow QRS complexes and may or may not have discernible P waves.

D. First-degree heart block: First-degree heart block is characterized by a prolonged PR interval (>0.20 seconds) but maintains a regular rhythm with normal QRS duration. In first-degree heart block, P waves are typically identifiable, and the rhythm is not irregular.

A. An abdominal aortic aneurysm is commonly found in the suprarenal aorta. B. An abdominal aortic aneurysm occurs as a result of a thickened wall of the abdominal artery. C. An abdominal aortic aneurysm is a dilation of the abdominal aorta greater than 30 mm in diameter. D. Abdominal aortic aneurysms might rupture if blood pressure is too low.

Correct Answer is C

Explanation

A. An abdominal aortic aneurysm is commonly found in the suprarenal aorta: This statement is incorrect. Abdominal aortic aneurysms (AAAs) are most commonly found infrarenally, below the level of the renal arteries, rather than in the suprarenal region.

B. An abdominal aortic aneurysm occurs as a result of a thickened wall of the abdominal artery: This statement is incorrect. An abdominal aortic aneurysm typically occurs due to weakening of the arterial wall, rather than thickening. The weakened wall allows the arterial wall to bulge or balloon out, forming an aneurysm.

C. An abdominal aortic aneurysm is a dilation of the abdominal aorta greater than 30 mm in diameter: This statement is correct. An abdominal aortic aneurysm is defined as a localized dilation of the abdominal aorta that exceeds 50% of the normal vessel diameter, typically greater than 30 mm in diameter. This dilation occurs due to weakening of the arterial wall, which can result from various factors such as atherosclerosis, hypertension, and genetic predisposition.

D. Abdominal aortic aneurysms might rupture if blood pressure is too low: This statement is incorrect. Abdominal aortic aneurysms are more likely to rupture when blood pressure is too high, rather than too low. Hypertension increases the pressure within the weakened arterial wall, potentially leading to rupture. Therefore, controlling blood pressure is crucial in managing abdominal aortic aneurysms to reduce the risk of rupture.

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A nurse is reinforcing teaching to a group of nursing students about causes of traumatic brain injuries (TBIs). Which of the following should the nurse include in the teaching? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A nurse is providing education to a client who has a newly diagnosed abdominal aortic aneurysm (AAA). Which of the following statements should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is providing CPR to a client. Which of the following aspects of CPR are different in the community versus in the hospital? (Select All that Apply.)

The spouse of an older client experiencing delirium is at the client's bedside. The nurse is providing an update to the spouse regarding the client's plan of care. Which of the following responses by the spouse indicates a need for further teaching?

A nurse is planning care for a client who has suspected cardiac tamponade. Which of the following diagnostic tests should the nurse anticipate the provider to order first?

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?

A nurse is caring for a client who has Meniere’s disease. The nurse identifies that which of the following manifestations is caused by an excessive accumulation of endolymph fluid?

Which of the following are risk factors for abdominal aortic aneurysm (AAA)? (Select all that apply.)

A nurse is teaching a client who has macular degeneration about how to use an Amsler grid. Which of the following statements should the nurse include in the teaching?