A nurse in a provider's office is collecting data from a client who reports dyspnea and fatigue.
The nurse determines that the client also has tachycardia and edema. Which of the following disorders should the nurse suspect?

Asthma

Heart failure

Aortic valve regurgitation

Aortic stenosis

Answer and Explanation

The Correct Answer is B

a. Asthma: While asthma can cause dyspnea and fatigue, it is not typically associated with tachycardia and edema.

b. Heart failure: Heart failure is characterized by symptoms such as dyspnea, fatigue,

tachycardia, and edema. Tachycardia may be a compensatory response to maintain cardiac output, and edema can result from fluid retention.

c. Aortic valve regurgitation: Aortic valve regurgitation may cause symptoms such as dyspnea and fatigue, but it is not typically associated with tachycardia and edema.

d. Aortic stenosis: Aortic stenosis may lead to symptoms such as dyspnea, but tachycardia and edema are not typical features of aortic stenosis.

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Correct Answer is A

Explanation

a. Determine the patency of the tubing: The first action should be to assess for any obstruction or kinks in the tubing. A blockage may be preventing the flow of urine.

b. Notify the provider: While notifying the provider may be necessary, assessing the tubing for patency is a more immediate action.

c. Offer oral fluids: While hydration is important, the priority is to ensure that the urinary catheter is functioning properly.

d. Administer a prescribed analgesic: Pain management is important postoperatively, but the

immediate concern is the lack of urinary output, which requires assessment and intervention to rule out catheter obstruction.

A. Hyperactive bowel sounds B. Increased urine output C. Hypotension D. Bradycardia

Correct Answer is C

Explanation

a. Hyperactive bowel sounds: Shock is more likely to be associated with decreased bowel sounds rather than hyperactive bowel sounds.

b. Increased urine output: In the early stages of shock, there may be an increase in urine output as the body attempts to compensate. However, as shock progresses, renal perfusion decreases,

leading to decreased urine output.

c. Hypotension: Hypotension is a key indicator of shock. In shock, there is insufficient blood flow to meet the body's oxygen and nutrient needs, resulting in a drop in blood pressure.

d. Bradycardia: Shock typically leads to an increased heart rate (tachycardia) as the body tries to compensate for decreased cardiac output. Bradycardia is not a typical finding in the early stages of shock.

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A nurse in a provider's office is collecting data from a client who reports dyspnea and fatigue.The nurse determines that the client also has tachycardia and edema. Which of the following disorders should the nurse suspect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A nurse is caring for a client who is at risk for shock. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

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A nurse in a provider's office is collecting data from a client who reports dyspnea and fatigue.
The nurse determines that the client also has tachycardia and edema. Which of the following disorders should the nurse suspect?