A client describes a sensation of shortness of breath and the inability to get enough air. How should the nurse document the findings?
Dyspnea
Aspiration
Hemoptysis
Orthopnea
The Correct Answer is A
A. Dyspnea is the medical term for shortness of breath or difficulty breathing. It is a subjective sensation of uncomfortable breathing and is the most appropriate term for this client's description.
B. Aspiration refers to the inhalation of food, liquid, or other foreign substances into the airways, which can lead to choking or pneumonia. This does not describe the sensation of shortness of breath.
C. Hemoptysis refers to coughing up blood, which is unrelated to the sensation of shortness of breath described in the question.
D. Orthopnea is shortness of breath that occurs when lying flat, often associated with heart failure. The description in the question does not specifically mention difficulty breathing while lying down.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Cardiac myocytes (heart muscle cells) are less likely to undergo neoplastic transformation compared to other cell types. These cells have a very limited ability to proliferate and typically do not undergo the rapid cell division that is characteristic of cancerous growth.
B. Hepatocytes (liver cells) are capable of undergoing neoplastic transformation and can give rise to liver cancer (hepatocellular carcinoma) under certain conditions, such as chronic liver disease or cirrhosis.
C. Epithelial cells, which line body surfaces and cavities, are among the most common cell types to undergo neoplastic transformation. Various cancers, such as skin cancer, lung cancer, and colorectal cancer, arise from epithelial cells.
D. Lymphocytes (a type of white blood cell) can develop into neoplasms, such as lymphomas or leukemias, when they undergo malignant transformation.
Correct Answer is B
Explanation
A. This option is incorrect because impaired sodium excretion by the kidneys does contribute to increased peripheral vascular resistance and hypertension.
B. Impaired sodium excretion by the kidneys can lead to fluid retention, which increases blood volume. This results in increased peripheral vascular resistance, a key factor in the development of hypertension.
C. Overstimulation of the parasympathetic nervous system typically causes a reduction in heart rate and vasodilation, which would generally lower blood pressure, not contribute to hypertension.
D. The renin-angiotensin-aldosterone system plays a crucial role in regulating blood pressure. Reduced secretion of renin, angiotensin, and aldosterone would not contribute to increased peripheral vascular resistance. In fact, these systems typically work to raise blood pressure when needed.
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