A 30-year-old male smoker presents with gangrene of his extremities. Which one of the following histologic findings from a biopsy of the blood vessels supplying this area would be most suggestive of the diagnosis of Buerger's disease?

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Question 1 of 5

A 30-year-old male smoker presents with gangrene of his extremities. Which one of the following histologic findings from a biopsy of the blood vessels supplying this area would be most suggestive of the diagnosis of Buerger's disease?

Correct Answer: D

Rationale: Buerger's disease (thromboangiitis obliterans) is characterized by segmental thrombosing vasculitis with microabscesses in the thrombus, commonly affecting young male smokers and leading to extremity gangrene.

Question 2 of 5

After providing teaching about benazepril, which statement by the patient indicates correct understanding?

Correct Answer: D

Rationale: Benazepril is an angiotensin-converting enzyme inhibitor. The medication inhibits the breakdown of bradykinin, which may cause a dry, hacking cough.

Question 3 of 5

What is the most important nursing intervention for a client prescribed furosemide for pulmonary edema secondary to heart failure?

Correct Answer: C

Rationale: Furosemide can cause hypokalemia, so potassium levels must be monitored.

Question 4 of 5

What assessment finding would indicate that spironolactone therapy is effective in a patient with heart failure?

Correct Answer: B

Rationale: Spironolactone reduces fluid overload, leading to improved respiratory status and decreased peripheral edema.

Question 5 of 5

What is a priority nursing assessment when administering an ACE inhibitor to a patient with heart failure?

Correct Answer: A

Rationale: ACE inhibitors can cause hyperkalemia, so the nurse should monitor for signs like muscle weakness, which could indicate elevated potassium levels.

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