The nurse is taking a health history and notes the patient has a history of a splenectomy. For which condition is this patient at risk?

Liver disease

Lupus

Pneumonia

Renal disease

Answer and Explanation

The Correct Answer is C

A. While a splenectomy can lead to increased workload on the liver, it does not directly predispose the patient to liver disease.
B. A history of splenectomy does not specifically increase the risk of lupus.

C. Patients who have undergone splenectomy are at increased risk of certain infections, particularly encapsulated bacteria such as Streptococcus pneumoniae, which can cause pneumonia.
D. A history of splenectomy does not directly increase the risk of renal disease.

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Correct Answer is C

Explanation

A. Sinus bradycardia may not require immediate intervention if the patient is asymptomatic and stable.
B. Asymptomatic premature atrial contractions may not require immediate attention unless they are associated with significant symptoms or hemodynamic instability.
C. Dyspnea in a patient with atrial fibrillation may indicate heart failure or other complications and requires prompt assessment and intervention.
D. Sinus tachycardia may not require immediate intervention if the patient is asymptomatic and stable.

A. "I need to drink at least 8 full glasses of liquid each day." B. "I will need to empty my bladder after having sexual intercourse." C. "I will need to wipe my perineal area from back to front after urination." D. "I should avoid taking bubble baths."

Correct Answer is C

Explanation

A. Adequate hydration is essential for preventing UTIs as it helps flush bacteria from the urinary tract.
B. Voiding after sexual intercourse can help flush out bacteria that may have entered the urinary tract during intercourse, reducing the risk of UTIs.
C. Wiping from back to front after urination can introduce bacteria from the anal area to the urethra, increasing the risk of UTIs. The correct technique is to wipe from front to back.
D. Bubble baths can introduce irritants and bacteria into the vaginal and perineal area, increasing the risk of UTIs. Avoiding bubble baths is a recommended prevention measure.

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The nurse is taking a health history and notes the patient has a history of a splenectomy. For which condition is this patient at risk?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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