A nurse is teaching the patient with mitral valve problems about the valves of the heart. Starting on the right side of the heart, describe the sequence of blood flow through these valves. 1. Mitral; 2. Aortic; 3. Tricuspid; 4. Pulmonic

4,3,2,1

1,3, 2,4

3,4, 1,2

2,4, 1,3

Answer and Explanation

The Correct Answer is C

A. 4, 3, 2, 1 (Pulmonic → Tricuspid → Aortic → Mitral): This sequence incorrectly places the pulmonic valve first instead of the tricuspid.

B. 1, 3, 2, 4 (Mitral → Tricuspid → Aortic → Pulmonic): This sequence incorrectly starts with the mitral valve (left side of the heart), instead of the tricuspid (right side of the heart).

C. 3, 4, 1, 2 (Tricuspid → Pulmonic → Mitral → Aortic): Blood flow through heart valves follows this order:

Tricuspid Valve (Right atrium → Right ventricle)
Pulmonic Valve (Right ventricle → Pulmonary artery → Lungs)
Mitral Valve (Left atrium → Left ventricle)
Aortic Valve (Left ventricle → Aorta → Body)

D. 2, 4, 1, 3 (Aortic → Pulmonic → Mitral → Tricuspid): This sequence incorrectly places the aortic valve first, which is incorrect for blood flow through the heart.

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

Explanation

A. Nonproductive cough: Diphenhydramine is an antihistamine, not a cough suppressant. It does not cause a nonproductive cough as a side effect.

B. Drowsiness: First-generation antihistamines (like diphenhydramine) cause CNS depression, leading to drowsiness.

C. Urinary retention: Diphenhydramine has anticholinergic effects, which can lead to urinary retention, especially in older adults or those with prostate issues.

D. Dry mouth: Diphenhydramine blocks muscarinic receptors, reducing saliva production and causing dry mouth.

E. Skin rash: Skin rash is not a common adverse effect of diphenhydramine but can be a sign of an allergic reaction.

A. "Have you had any changes in your diet?" B. "Does your skin condition keep you awake at night?" C. “How does your skin condition make you feel?" D. "How do you handle stress?”

Correct Answer is A

Explanation

A. "Have you had any changes in your diet?" While diet can impact skin health, this question is not the most relevant for an immediate skin assessment. More direct questions about onset, symptoms, and exacerbating factors should be prioritized.

B. "Does your skin condition keep you awake at night?" Pruritus (itching), pain, or discomfort from a skin condition can disrupt sleep. Asking this helps assess the impact on daily life and quality of sleep.

C. "How does your skin condition make you feel?" Skin conditions can affect self-esteem and mental health. This question is therapeutic and appropriate to assess emotional impact.

D. "How do you handle stress?" Many skin conditions, such as eczema and psoriasis, worsen with stress. This question is relevant for identifying triggers.

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A nurse is teaching the patient with mitral valve problems about the valves of the heart. Starting on the right side of the heart, describe the sequence of blood flow through these valves. 1. Mitral; 2. Aortic; 3. Tricuspid; 4. Pulmonic

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has a new prescription for diphenhydramine for allergic rhinitis. The nurse should instruct the client to monitor for which of the following manifestations as an adverse effect of this medication? (Select all that apply.)

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

Explanation

A nurse is observing a newly licensed nurse who is performing a focused skin assessment on a client who reports a skin condition. Which of the following questions by the newly licensed nurse requires intervention?

Correct Answer is A

Explanation

A nurse is teaching a client about taking diphenhydramine. The nurse should explain to the client that which of the following is an adverse effect of this medication?

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