A 60-year-old man was admitted for cholecystitis that resulted in a cholecystectomy. On his third day of hospitalization, he begins to sweat profusely, tremble, and has a blood pressure of 160/100. Based on these findings, what focused assessment should the nurse complete?
Withdrawal problems
Circulatory problems
Cardiac problems
Respiratory problems
The Correct Answer is A
A. Withdrawal problems: These symptoms are consistent with alcohol or drug withdrawal, which can occur in hospitalized patients with a history of substance use.
B. Circulatory problems: While hypertension is a circulatory issue, the sweating and trembling suggest withdrawal rather than primary circulatory problems.
C. Cardiac problems: While important to rule out, the combination of symptoms points more towards withdrawal.
D. Respiratory problems: The primary symptoms here are not indicative of respiratory issues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Tasteless food: While tasteless food could be a factor, it’s less likely to be the primary cause, especially if the issue is widespread and persistent.
B. Overuse of salt: Overuse of salt might affect taste but is not a common cause of loss of taste or appetite in older adults.
C. Loss of taste buds: Aging can lead to a decrease in the number of taste buds and a reduced ability to taste food, leading to a loss of appetite.
D. Lack of variety: Lack of variety might affect appetite but is not typically the cause of a complete loss of taste.
Correct Answer is D
Explanation
A. Is commonly known as a cold sore: Cold sores are typically caused by herpes simplex type 1 (HSV-1), not type 2.
B. Usually affects the labia in women. While HSV-2 can affect the labia, it is not exclusive to this area and can affect other genital regions in both men and women.
C. Is characterized by a vesicle at the corner of the mouth, lips, or nose. These symptoms are more characteristic of HSV-1.
D. Is often associated with lesions in the genital area. Herpes simplex type 2 (HSV-2) is primarily associated with genital herpes, causing lesions and outbreaks in the genital and anal areas.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
