When educating a patient about the warning signs of cancer, the nurse includes which of the following? (Select all that apply.)

Persistent cough

Difficulty in swallowing

Changes in pulse rate

Obvious change in a mole

Vesicular breath sounds

Hyperactive bowel sounds

Answer and Explanation

Correct Answer : A,B,D

A persistent cough can indicate lung cancer or other types of cancer affecting the respiratory system, making it a warning sign that should be noted.
B.   Difficulty swallowing, or dysphagia, can be indicative of cancer in the esophagus, throat, or mouth, and should raise concern when observed.
C.   Changes in pulse rate are typically not direct indicators of cancer; however, they could result from underlying conditions related to cancer treatment or progression.
D.   An obvious change in a mole, especially in size, shape, or color, is a well-known warning sign of skin cancer, specifically melanoma.
E.   Vesicular breath sounds are normal breath sounds, not linked to cancer.
F.   Hyperactive bowel sounds could indicate a gastrointestinal issue but are not specific to cancer.

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

Explanation

A. A significant drop in blood pressure when standing (typically greater than 20 mm Hg systolic or 10 mm Hg diastolic) is a hallmark of orthostatic hypotension.
B. Dizziness upon standing is a classic symptom of orthostatic hypotension due to decreased blood flow to the brain.
C. Blurred vision can also result from decreased blood flow and is a common symptom of orthostatic hypotension.
D. Syncope (fainting) can occur as a result of orthostatic hypotension when the brain does not receive enough oxygenated blood due to the drop in blood pressure.

A. dilation reflex. B. brisk reflex, C. accommodation. D. consensual reflex

Correct Answer is D

Explanation

A. The dilation reflex refers to pupils dilating in response to dim light, not constricting.
B. A brisk reflex is an expected response, but it does not describe the bilateral pupil constriction when light is shone in one eye.
C. Accommodation refers to the process of the eyes adjusting focus for near vision, not pupil constriction in response to light.

D. Consensual reflex is when both pupils constrict in response to light shined in either one of the eyes, indicating normal neurological function.

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When educating a patient about the warning signs of cancer, the nurse includes which of the following? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse assesses that the 86-year-old patient is experiencing orthostatic hypotension when assessments indicate: (Select all that apply.)

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

Explanation

When examining a patient's pupils with a light, the nurse notes that both pupils constrict, regardless of which eye is stimulated by the light. The nurse should document that the pupils exhibit:

Correct Answer is D

Explanation

A patient is receiving an opiate-based medication to help mange pain. Which assessment has the highest priority when monitoring his condition?

A patient who is terminally ill is described during shift report as having Cheyne-Stokes breathing. On assessment, the nurse anticipates finding:

A nurse is reinforcing teaching with a client who has a family history of hypertension. The nurse should inform the client that his blood pressure reading of 124/84 mm Hg places him in which of the following categories?

The nurse would refrain from applying a blood pressure cuff on the affected arm of a patient who has a(n): (Select all that apply)

The nurse explains to a patient that the pulse oximeter can measure the arterial oxygen by:

A nurse caring for a patient on bed rest with a history of respiratory health problems should:

To ensure an accurate reading when using a glass oral thermometer, it is necessary to

A patient was admitted with possible head trauma after a motor vehicle accident. The nursing implementation with the highest priority is to: