A young adult patient tells the health care provider about experiencing cold, numb fingers and Raynaud’s phenomenon is suspected. What type of testing should the nurse anticipate explaining to the patient?

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Question 1 of 5

A young adult patient tells the health care provider about experiencing cold, numb fingers and Raynaud’s phenomenon is suspected. What type of testing should the nurse anticipate explaining to the patient?

Correct Answer: C

Rationale: The correct answer is C: Autoimmune disorders. Raynaud's phenomenon is characterized by cold, numb fingers due to vasoconstriction of blood vessels in response to cold or stress. It is often associated with autoimmune disorders like lupus or scleroderma. Testing for autoimmune disorders may include antinuclear antibody (ANA) testing, rheumatoid factor (RF) testing, and specific autoantibody testing. Explanation for why the other choices are incorrect: A: Hyperglycemia is high blood sugar levels, which is not directly related to Raynaud's phenomenon. B: Hyperlipidemia is high levels of fats in the blood, which is not directly related to Raynaud's phenomenon. D: Coronary artery disease is a condition of the heart's blood vessels, and it is not directly related to Raynaud's phenomenon.

Question 2 of 5

A 62-yr-old patient who has no history of hypertension or other health problems suddenly develops a blood pressure (BP) of 198/110 mm Hg. After reconfirming the BP, it is appropriate for the nurse to tell the patient that:

Correct Answer: C

Rationale: Rationale for Correct Answer (C): 1. The sudden increase in blood pressure to 198/110 mm Hg indicates a hypertensive crisis. 2. Given the absence of a history of hypertension, further evaluation is needed to determine the cause. 3. Diagnosis, treatment, and monitoring are essential to prevent complications and manage the condition effectively. Summary of Incorrect Choices: A: Waiting a few weeks for a BP recheck is not appropriate as the high BP requires immediate attention. B: While dietary changes can help manage hypertension, addressing the underlying cause is crucial in this acute scenario. D: Hospitalization may be necessary if complications arise, but this choice jumps to conclusions without proper assessment and management.

Question 3 of 5

A nurse is caring for a client who is experiencing moderate metabolic alkalosis. What action would the nurse take?

Correct Answer: D

Rationale: The correct answer is D because in metabolic alkalosis, the blood pH is elevated due to excess bicarbonate levels. Teaching the client fall prevention measures is important as alkalosis can cause muscle weakness and confusion, increasing the risk of falls. Monitoring hemoglobin and hematocrit (Choice A) is not relevant to metabolic alkalosis. Administering furosemide (Choice B) may worsen alkalosis by decreasing fluid volume. Encouraging deep breaths (Choice C) is not indicated as it can further decrease carbon dioxide levels, exacerbating alkalosis.

Question 4 of 5

A nurse evaluates the following arterial blood gas values in a client: pH 7.48, PaO2 98 mm Hg, PaCO2 28 mm Hg, and HCO3 22 mEq/L (22 mmol/L). Which client condition does the nurse correlate with these results?

Correct Answer: B

Rationale: The correct answer is B: Anxiety-induced hyperventilation. The pH of 7.48 indicates alkalosis, likely due to hyperventilation (respiratory alkalosis). The PaCO2 of 28 mm Hg is below the normal range (35-45 mm Hg), supporting hyperventilation. HCO3 of 22 mEq/L is within the normal range, compensating for the respiratory alkalosis. PaO2 of 98 mm Hg is also within the normal range. Therefore, the ABG values are consistent with a respiratory alkalosis caused by hyperventilation due to anxiety. Choices A, C, and D are incorrect: A: Diarrhea and vomiting for 36 hours would likely result in metabolic acidosis due to loss of bicarbonate, which is not supported by the ABG values. C: COPD typically presents with respiratory acidosis due to retention of CO2, which is not the case here. D

Question 5 of 5

Which of the following phrases best describes hospitals today?

Correct Answer: B

Rationale: The correct answer is B: focus on acute care needs. Hospitals today primarily cater to providing immediate and intensive medical care for patients with severe or urgent health issues. This is evident in their specialized departments such as emergency rooms, intensive care units, and surgical suites. Hospitals are equipped with advanced technologies and specialized medical professionals to address acute conditions promptly. Choice A (focus on chronic illnesses) is incorrect as hospitals mainly deal with acute conditions. Choice C (primary care centers) is incorrect as primary care centers provide routine and preventive care, whereas hospitals focus on more complex and urgent medical needs. Choice D (voluntary agencies) is incorrect as hospitals are healthcare institutions that may operate as public, private, or non-profit entities, rather than voluntary agencies.

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