HESI Med Surg Hematological system | Nurselytic

Questions 54

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HESI Med Surg Hematological system Questions

Question 1 of 5

The nurse provides education to a patient about the symptoms of uncontrolled hypertension. Which symptom would the nurse include? Select all that apply.

Correct Answer: A,B,C

Rationale: Fatigue, dizziness, and palpitations are symptoms of uncontrolled hypertension due to cardiovascular strain and vascular effects; cluster headaches are not directly related.

Question 2 of 5

A patient reports episodic chest pain lasting a few minutes that is provoked by exertion and relieved within 10 minutes upon resting. Which cause of the patient's symptoms would the nurse suspect?

Correct Answer: C

Rationale: Myocardial ischemia due to coronary artery disease causes chest pain provoked by exertion and relieved by rest, characteristic of stable angina.

Question 3 of 5

Which treatment is likely to be planned for a patient who develops pernicious anemia after a gastrectomy?

Correct Answer: D

Rationale: Cobalamin replacement therapy is the standard treatment for pernicious anemia caused by vitamin B12 deficiency due to lack of intrinsic factor post-gastrectomy.

Question 4 of 5

A patient reports leg pain that awakens the patient at night. The patient reports that the same pain develops in the legs when they are elevated and disappears when the legs are dangled. Which condition would the nurse suspect?

Correct Answer: A

Rationale: Peripheral arterial disease causes leg pain worsened by elevation and relieved by dangling, due to reduced blood flow from arterial narrowing.

Question 5 of 5

A patient with chronic obstructive pulmonary disease (COPD) has the following arterial blood gas (ABG) results: a blood pH of 7.29, a partial pressure of carbon dioxide (PaCO2) level of 49 mm Hg, and a bicarbonate ion (HCO3) level of 25 mEq/L. Which condition would the nurse have in mind when developing the patient's plan of care?

Correct Answer: C

Rationale: Respiratory acidosis is indicated by low pH (7.29) and high PaCO2 (49 mm Hg), common in COPD due to impaired CO2 elimination.

Similar Questions

Which acid-base mechanism would the kidney use to buffer a patient's acidosis (serum pH <7.35)? Select all that apply.
Which finding would the nurse expect to see in a patient with a hemoglobin level of 8 g/dL? Select all that apply.
After noting that a patient with leukemia has thrombocytopenia, which action will the nurse plan to take?
The nurse notes that a patient has a smooth and shiny tongue surface. The nurse would attribute these findings to which condition?
The nurse receives a health care provider's prescription to change a patient's IV from D5. half-normal saline with 40 mEq KCl/L to DSNS with 20 mEq KCl/L. Which set of serum laboratory values supports the rationale for this IV prescription change?

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