A patient asks the nurse, "What is blood pressure?" The nurse would most appropriately respond:

"A complex measurement that should only be discussed with your health care provider."

"A measurement that should always be 120/80 unless complications are present."

"A measurement that takes into consideration the amount of blood that your heart is pumping and the size of the vessel diameter the heart must pump against.”

"The amount of pressure exerted on your veins by the blood."

Answer and Explanation

The Correct Answer is C

A. "A complex measurement that should only be discussed with your health care provider": This response is dismissive and does not provide the patient with valuable information or education.

B. "A measurement that should always be 120/80 unless complications are present": While 120/80 mmHg is a common target, blood pressure varies based on individual health and other factors.

C. "A measurement that takes into consideration the amount of blood that your heart is pumping and the size of the vessel diameter the heart must pump against": This response accurately explains that blood pressure is the force of blood against the walls of the arteries and is influenced by cardiac output and vascular resistance.

D. "The amount of pressure exerted on your veins by the blood": Blood pressure refers to the pressure within the arteries, not veins.

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Correct Answer is B

Explanation

A. Dark colored urine: Dark urine can be a sign of bilirubin buildup in the body due to liver dysfunction, commonly seen in cirrhosis.

B. Dark colored stool: This is not typically associated with cirrhosis. Dark stools can indicate gastrointestinal bleeding, but in cirrhosis, stools are more likely to be pale or clay-colored due to a lack of bile.

C. Jaundice: Jaundice occurs due to the liver's inability to process bilirubin, leading to yellowing of the skin and eyes.

D. Pruritus: Pruritus, or itching, is common in cirrhosis due to bile salt deposition in the skin.

E. Ascites: Ascites, the accumulation of fluid in the abdomen, is a common complication of cirrhosis due to portal hypertension and low albumin levels.

A. An increase in O2 saturation to greater than 90% B. The onset of atrial fibrillation C. Louder S, and S2 heart sounds D. A decrease in heart rate to 66 bpm

Correct Answer is B

Explanation

A. An increase in O2 saturation to greater than 90%: An increase in oxygen saturation is typically a positive sign and does not indicate worsening heart failure.

B. The onset of atrial fibrillation: The development of atrial fibrillation (AFib) in a patient with heart failure is a sign of worsening heart failure, as it indicates increased atrial pressure and the potential for further hemodynamic compromise.

C. Louder S1 and S2 heart sounds: Louder heart sounds do not specifically indicate worsening heart failure. They may vary based on other factors such as body habitus or the position of the patient.

D. A decrease in heart rate to 66 bpm: A heart rate of 66 bpm is within the normal range and does not suggest worsening heart failure.

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A patient asks the nurse, "What is blood pressure?" The nurse would most appropriately respond:

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Naxlex Comprehensive Predictor Exams

Which of the following signs/symptoms would not be seen in a patient with cirrhosis?

Correct Answer is B

Explanation

Which assessment finding indicates that a patient's heart failure (HF) is worsening?

Correct Answer is B

Explanation

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