COPD is known to cause air trapping and stiff alveoli leading to increased pulmonary pressure. When the right side of the heart tries to pump blood against this increased pressure in the lungs, it can result in:

Cor Pulmonale

Flattening of neck veins

Weight loss

Shrunken liver

Answer and Explanation

The Correct Answer is A

A.   Cor Pulmonale is right-sided heart failure caused by pulmonary hypertension, which is often a complication of COPD due to increased pressure in the pulmonary arteries.
B.   Flattening of neck veins is associated with fluid overload, not with right-sided heart failure.
C.   While weight loss can occur in COPD patients due to increased energy expenditure, it is not directly related to the development of cor pulmonale.
D.   The liver might actually become enlarged due to congestion from right-sided heart failure.

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Correct Answer is D

Explanation

Hypertensive crisis is diagnosed when a patient's systolic blood pressure (SBP) is greater than 180 mmHg or their diastolic blood pressure (DBP) is greater than 120 mmHg. This is a serious condition that requires immediate medical attention.

A. Darkened urine coloration B. Tachycardia C. Increased pigmentation of the patients Iris D. Brownish, thickened skin around the patient's neck or armpits

Correct Answer is D

Explanation

A. This is unrelated to acanthosis nigricans. Darkened urine might indicate liver issues or other conditions.
B. This is an increased heart rate, unrelated to skin conditions.
C. This refers to the colored part of the eye and is unrelated to acanthosis nigricans.
D. This is accurately describes the appearance of acanthosis nigricans. This is characterized by dark, thickened, velvety patches of skin in body folds and creases. These areas commonly include the armpits, groin, and neck.

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COPD is known to cause air trapping and stiff alveoli leading to increased pulmonary pressure. When the right side of the heart tries to pump blood against this increased pressure in the lungs, it can result in:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Hypertensive Crisis is diagnosed when a patient's SBP is:

Correct Answer is D

Explanation

You are an RN taking report on a new patient that will be transferred to your unit. During the report, you learn that the patient has Acanthosis Nigricans. What do you expect to see when you finally get to perform a physical assessment of the patient?

Correct Answer is D

Explanation

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