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A nurse is collecting data on a client who is one day postoperative. The nurse should recognize which of the following findings is a manifestation of atelectasis?

Pedal edema

Dysphagia

Distended neck veins

Dyspnea

Answer and Explanation

The Correct Answer is D

A. Pedal edema is related to fluid retention or circulatory issues, not atelectasis.

B. Dysphagia, or difficulty swallowing, is not typically associated with atelectasis.

C. Distended neck veins are a sign of increased central venous pressure, not atelectasis.

D. Dyspnea, or difficulty breathing, is a common sign of atelectasis, which is the collapse of part or all of a lung, leading to impaired gas exchange.

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Correct Answer is D

Explanation

A. Activation of the inflammatory cascade in SIRS typically leads to decreased perfusion and tissue damage due to widespread inflammation and capillary leakage.

B. SIRS can affect multiple organs, but it is particularly known for impacting the lungs and kidneys rather than the heart.

C. While SIRS can involve coagulation issues, these are not specifically due to spleen dysfunction but rather to the widespread inflammatory response.

D. SIRS is driven by a deregulated cytokine storm, which leads to an excessive and uncontrolled inflammatory response, potentially resulting in multiple organ failure.

A. "It's unfortunate that I have to be in the hospital for this treatment." B. “I wish I didn't have to attach the electrodes to my skin." C. "I hope I don't have to take as many pain pills. D. “I’ll need to shave the hair off the skin where I place the electrodes."

Correct Answer is A

Explanation

A. The client does not need to be in the hospital for TENS therapy, as it is a non-invasive treatment that can be used at home. This statement indicates a misunderstanding that needs clarification.

B. While attaching electrodes to the skin is necessary for TENS therapy, expressing a dislike for this does not indicate a misunderstanding of the procedure.

C. Hoping to reduce pain medication is a reasonable expectation and indicates the client understands the purpose of TENS.

D. Shaving the area where the electrodes are placed is often recommended to ensure good contact and effectiveness of the treatment.

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A nurse is collecting data on a client who is one day postoperative. The nurse should recognize which of the following findings is a manifestation of atelectasis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting in explaining the pathophysiology of systemic inflammatory response syndrome (SIRS) to a group of newly licensed nurses. Which of the following statements by the nurse is accurate?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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