(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?
Pressure ulcers.
Varicose veins.
Emboli.
Thromboangitis obliterans (Buerger's disease).
The Correct Answer is B
Choice A rationale:
Pressure ulcers are not typically related to blood pooling in superficial veins due to prolonged standing. Pressure ulcers are usually caused by sustained pressure on the skin and underlying tissues, leading to tissue damage.
Choice B rationale:
Varicose veins can develop when blood pools in the superficial veins, often due to prolonged standing or increased pressure on the veins. This can lead to the dilation and twisting of the veins, resulting in varicose veins. Therefore, if a person stands for long periods of time, the nurse should assess for the development of varicose veins.
Choice C rationale:
Emboli and thromboangitis obliterans (Buerger's disease) are not directly related to blood pooling in superficial veins due to prolonged standing. Emboli are blood clots or other materials that travel through the bloodstream and can potentially block vessels in various parts of the body. Thromboangitis obliterans is a rare inflammatory condition that primarily affects the blood vessels of the extremities.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Anemia is not directly associated with endothelial injury in atherosclerosis. While anemia can lead to reduced oxygen delivery to tissues, it is not a primary factor in endothelial injury. Atherosclerosis is primarily linked to risk factors like smoking, hypertension, and hyperlipidemia.
Choice B rationale:
Smoking is a significant risk factor for atherosclerosis and can cause endothelial injury. Smoking introduces harmful chemicals into the bloodstream, leading to inflammation and damage to the inner lining of blood vessels (endothelium). This damage can promote the development of atherosclerotic plaques.
Choice C rationale:
Blood pressure of 110/70 is within the normal range, and while hypertension is a risk factor for atherosclerosis, this specific blood pressure measurement does not indicate endothelial injury.
Choice D rationale:
A history of asthma is not a direct risk factor for atherosclerosis or endothelial injury. While chronic inflammatory conditions can contribute to cardiovascular disease, asthma alone is not typically associated with atherosclerosis.
Correct Answer is B
Explanation
Choice A rationale:
Chorea is a movement disorder that can be seen in some cases of acute rheumatic fever, but it is not the result of an abnormal immune response to group A streptococcal cell membrane antigens. Chorea is characterized by involuntary, rapid, and irregular movements.
Choice C rationale:
C-reactive protein is a marker of inflammation and can be elevated in acute rheumatic fever, but it is not the primary cause of the condition. Acute rheumatic fever is an autoimmune response to group A streptococcal infection, and M proteins play a significant role in its pathophysiology.
Choice D rationale:
Streptolysin O is a toxin produced by some streptococcal bacteria but is not the primary cause of acute rheumatic fever. It can, however, contribute to the overall inflammatory response in certain cases.
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