The nurse is assessing a client with a diagnosis of mitral stenosis. Which piece of assessment data indicates that the disease is worsening?
Jugular vein distention and +3 peripheral edema
Increase in systolic blood pressure 10 mmHg above cents norm
Complaints of epigastric pain after eating a large meal
Complaints of dyspnea while completing ADLs
The Correct Answer is A
A. Jugular vein distention and +3 peripheral edema are signs of right-sided heart failure, which can result from worsening mitral stenosis. As the mitral valve becomes more narrowed, it leads to increased pressure in the left atrium and eventually backs up into the lungs and right side of the heart, causing fluid retention.
B. An increase in systolic blood pressure by 10 mmHg does not directly indicate worsening mitral stenosis. Blood pressure changes can occur for various reasons but are not as specific as signs of heart failure in this context.
C. Complaints of epigastric pain after eating a large meal are typically related to gastrointestinal issues rather than directly indicating worsening mitral stenosis.
D. Complaints of dyspnea while completing activities of daily living (ADLs) can be a sign of worsening mitral stenosis, but the additional signs of jugular vein distention and edema are more definitive indicators of worsening disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Monitoring urine output every two hours is not specifically required following the insertion of a permanent pacemaker. While urine output should be monitored as part of routine care, it is not directly related to the procedure.
B. Immobilizing the affected arm using a sling is a key intervention to prevent movement of the arm and ensure that the pacemaker leads are not displaced. This is important in the immediate postoperative period to reduce the risk of complications.
C. Teaching the client how to change the pacemaker dressing is typically not done immediately following insertion. The dressing is usually managed by the healthcare team in the early postoperative period until the site is sufficiently healed.
D. Arranging for ancillary personnel to feed the client is not a routine intervention following pacemaker insertion unless the client has specific limitations related to the procedure or recovery. The priority is to focus on the post-procedure care for the pacemaker.
Correct Answer is ["1.5"]
Explanation
Step 1: Identify what is given
Prescribed dose: 6 mg
Available concentration: 4 mg/mL
Step 2: Use the formula
Volume (mL) = Prescribed Dose (mg) ÷ Concentration (mg/mL)
Volume = 6 ÷ 4 = 1.5 mL
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
