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Challenge Question: Medical Surgical Nursing

May 27, 2014 Category :Medical - Surgical Nursing 1

Mr. Jim a 65 year old retired steel worker is admitted to the unit with dyspnea upon exertion.  He has a long history of smoking.  Initial assessment findings include barrel chest, ankle edema, persistent cough with copious sputum production, and variable wheezing on expiration.  Laboratory test result include a hematocrit greater than 60% and a partial pressure of carbon dioxide in arterial blood (PaCO2) OF 65 mm Hg.  The physican diagnostic chronic obstructive pulmonary disease (COPD)

1.  Mr.Jim’s ankle edema and respiratory problems should make the nurse suspect hypertrophy of which heart chamber?
A. Left atrium
B. Right atrium
C. Left ventricle
D. Right ventricle » Continue Reading

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Challege Question: Medical-Surgical Nursing

May 26, 2014 Category :Medical - Surgical Nursing 1

When the nurse tested an unconscious client for noxious stimuli, the client responded with decorticate rigidity or posturing.  This is best described as:

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Challenge Question

October 15, 2009 Category :Medical - Surgical Nursing 5

A client persents with symptoms of increased intracranial pressure, papilledema, and headache. No history of trauma is found. Vital signs are BP 110/60, HR 80, T 98.9 degree F, RR 24. Based on this statement, the nurse suspects the client has a(n):
A. brain tumor
B. meningitis
C. skull fracture
D. encephalitis » Continue Reading

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