The client is admitted to the nurse's unit with a diagnosis of heart failure. His heart is not pumping eﬀectively, which is resulting in edema and coarse crackles in his lungs. The term for this condition is:

Myocardial Infarction.

Atelectasis.

Fluid volume deficit.

Fluid volume excess.

Answer and Explanation

The Correct Answer is D

Heart failure is a condition in which the heart is unable to pump blood eﬀectively, leading to a buildup of ﬂuid in the body. This can result in edema (swelling) and ﬂuid accumulation in the lungs, causing coarse crackles when breathing. The term for this condition is ﬂuid volume excess, which refers to an excessive amount of ﬂuid in the body.

Myocardial infarction is a heart attack, atelectasis is a collapse of lung tissue, and ﬂuid volume deficit refers to a lack of ﬂuid in the body.

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Correct Answer is C

Explanation

The Agent-Host-Environment Model is a model of health promotion and illness prevention that focuses on the interaction between an infectious agent, the host (the person who is infected), and the environment in which the infection occurs. In this case, the agent is Clostridium difficile, the host is the elderly resident, and the environment is the long-term care facility where the outbreak occurred. The prescription of metronidazole (Flagyl) by the resident's primary care provider is an example of an intervention ai

A. Stage II pressure ulcer B. Stage IV pressure ulcer C. Stage I pressure ulcer D. Stage III pressure ulcer

Correct Answer is A

Explanation

A stage II pressure ulcer is a wound that presents as a shallow open ulcer with a red-pink wound bed and partial thickness loss of dermis. This type of wound is caused by unrelieved pressure on the skin, resulting in damage to the underlying tissue. In this scenario, the nurse notes an area of tissue injury on the client's sacral area that matches the description of a stage II pressure ulcer. Stage I pressure ulcers are characterized by non-blanchable erythema of intact skin, while stage III and IV pressure ulcers involve full-thickness tissue loss and may expose underlying muscle, bone, or other structures.

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The client is admitted to the nurse's unit with a diagnosis of heart failure. His heart is not pumping eﬀectively, which is resulting in edema and coarse crackles in his lungs. The term for this condition is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

While performing a bed bath, the nurse notes an area of tissue injury on the client's sacral area. The wound presents as a shallow open ulcer with a red-pink wound bed and partial thickness loss of dermis. What is the correct name of this wound?

Correct Answer is A

Explanation

A discharge goal for a client is to have improved mobility. Which outcome statement did the nurse write appropriately?

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