(1 point). Listen.
An older adult patient with chronic orthostatic hypotension should be monitored closely for:.

Aneurysms.

Heart failure.

Falls.

Atherosclerosis.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Aneurysms Aneurysms are not typically associated with chronic orthostatic hypotension. Aneurysms involve the weakening and ballooning of blood vessels, which can lead to life-threatening complications like rupture or dissection. However, they are not directly related to orthostatic hypotension.

Choice B rationale:

Heart failure Heart failure is a condition in which the heart cannot pump blood effectively, leading to symptoms like fluid retention, shortness of breath, and fatigue. While heart failure can cause orthostatic hypotension, it is not a complication that an older adult patient with chronic orthostatic hypotension should be primarily monitored for. Instead, the focus should be on addressing orthostatic intolerance and the risk of falls.

Choice C rationale:

Falls Chronic orthostatic hypotension is characterized by a drop in blood pressure upon standing, which can lead to dizziness, fainting, and falls. Monitoring for falls is crucial in older adults with this condition to prevent injuries and complications associated with falling. This is the correct choice because it directly addresses the potential risks associated with orthostatic hypotension.

Choice D rationale:

Atherosclerosis Atherosclerosis is a condition characterized by the buildup of fatty deposits in the arteries, which can lead to reduced blood flow to various organs. While atherosclerosis can contribute to cardiovascular issues, it is not the primary concern for an older adult with chronic orthostatic hypotension. The immediate concern is the risk of falls and related injuries.

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Correct Answer is C

Explanation

Choice A rationale:

Myocarditis is not the most common cause of coronary artery disease (CAD). Myocarditis is an inflammation of the heart muscle, often caused by viral infections or autoimmune reactions. While myocarditis can lead to heart-related symptoms, it is not the primary cause of CAD.

Choice B rationale:

Hypoglycemia is not the most common cause of CAD. Hypoglycemia refers to low blood sugar levels and is not a direct cause of CAD. However, unstable blood sugar levels can affect cardiovascular health, but atherosclerosis remains the primary underlying cause of CAD.

Choice C rationale:

Atherosclerosis is the most common cause of coronary artery disease (CAD). Atherosclerosis is a condition in which the walls of the arteries become clogged with fatty deposits, leading to the narrowing of the arteries. This narrowing restricts blood flow to the heart muscle, resulting in the characteristic symptoms of CAD, such as angina and heart attacks. Atherosclerosis is a major risk factor for CAD and is influenced by factors like high blood pressure, high cholesterol levels, smoking, and diabetes.

Choice D rationale:

Vasospasm is not the most common cause of CAD. Vasospasm, also known as coronary artery vasospasm or Prinzmetal's angina, is a condition characterized by transient, sudden narrowing of the coronary arteries. While it can lead to chest pain similar to angina, it is not as common as atherosclerosis in causing CAD. Vasospasm is often associated with certain triggers, such as smoking or drug use, and may occur in addition to atherosclerosis.

A. A client who has bipolar disorder and is speaking loudly. B. A client who has schizophrenia and is experiencing olfactory hallucinations. C. A client who is taking clozapine and reports a sore throat. D. A client who is taking lithium and reports weight gain.

Correct Answer is C

Explanation

Choice A rationale:

The client with bipolar disorder speaking loudly may be experiencing a manic episode, but this doesn't represent an immediate physical concern. There's no indication of a medical emergency here.

Choice B rationale:

Olfactory hallucinations in a client with schizophrenia are concerning, but it doesn't necessarily indicate an immediate physical issue that requires urgent attention.

Choice C rationale:

A client taking clozapine and reporting a sore throat is of immediate concern because clozapine is associated with a risk of agranulocytosis, a potentially life-threatening condition that can manifest as a sore throat. Monitoring for this side effect is crucial.

Choice D rationale:

While weight gain in a client taking lithium should be monitored, it's not an acute issue that requires immediate attention.

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(1 point). Listen.An older adult patient with chronic orthostatic hypotension should be monitored closely for:.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

(1 point). Listen. A nurse is providing care to a patient with coronary artery disease. The nurse knows that the most common cause of this condition is:.

Correct Answer is C

Explanation

A nurse is receiving change-of-shift report for four clients.Which of the following clients should the nurse see first?

Correct Answer is C

Explanation

(1 point). Listen.If a person stands for long periods of time, causing blood to pool in superficial veins, which condition should the nurse assess for?

(1 point). Listen.Which of the following laboratory results will the nurse expect to find in a patient who smokes?

(1 point). Listen.A nurse is asked what causes infective endocarditis.What is the nurse's best answer?

(1 point). Listen.A nurse is teaching about unstable angina.Which information should the nurse include? Unstable angina is considered a precursor to:.

(1 point). Listen. When a nurse is describing the development of primary hypertension, which information is correct? Increased sympathetic nervous system (SNS) activity causes:

(1 point). Listen. A patient is diagnosed with chronic pulmonary disease and elevated pulmonary vascular resistance. Which of the following heart failures does the nurse assess for in this patient?

Listen.Which of the following patients should be monitored closely by the nurse for superior vena cava syndrome?

(1 point). Listen.A patient has hyperhomocysteinemia.Which foods should the nurse encourage the patient to consume? Foods high in:.

(1 point). Listen.
An older adult patient with chronic orthostatic hypotension should be monitored closely for:.