Drag and drop word choices to complete the sentence.

If healthcare providers (HCPs) see a narrowed heart vessel while performing a percutaneous coronary intervention (PCI), they may perform a balloon angioplasty to compress the plaque against the vessel wall and hold it there with a stent, which will lessen
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Answer and Explanation

The Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"B"}

Rationale for correct answers:

Pain: Chest pain (angina) is the heart’s way of signaling "ischemia" (lack of oxygen). By opening the vessel and compressing the plaque, the oxygen supply-demand balance is restored, which directly reduces or eliminates the ischemic pain.
Dysrhythmias: Heart muscle that is deprived of oxygen becomes "irritable." This electrical instability in the ischemic tissue often leads to dangerous dysrhythmias (abnormal heart rhythms). Restoring blood flow stabilizes the electrical conduction system of the heart.

Rationale for incorrect choices:

Vasospasms: These are sudden constrictions of the muscular walls of the artery. While medications (like nitroglycerin) treat vasospasms, a mechanical stent is primarily designed to address physical obstructions (plaque) rather than the physiological spasm of the vessel wall.
Heart Blocks: These are specific delays or interruptions in the electrical signals between the heart's atria and ventricles. While ischemia can cause heart blocks, they are usually managed with pacemakers or by treating the underlying cause, rather than being the primary focus of a standard PCI for plaque compression.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. During the acute phase of a severe burn, the body initiates a systemic inflammatory response. Burn injury causes increased capillary permeability, allowing plasma, electrolytes, and proteins to leak into the interstitial space. This leads to edema, hypovolemia, and hemoconcentration, which are hallmark signs of the burn shock phase. Early recognition and fluid resuscitation are critical to prevent organ hypoperfusion and shock.

B. Initially, burn injury leads to hypovolemia, not hypervolemia, due to fluid shifts out of the vascular space. Without proper fluid replacement, the client is at high risk for shock rather than fluid overload.

C. The inflammatory response is actually heightened after a burn, not decreased. This hyperactive response contributes to tissue edema, capillary leakage, and systemic effects. While wound healing may be delayed due to tissue damage, the acute phase is dominated by inflammation, not suppression.

D. The risk of infection is increased, not reduced, after a burn because the skin barrier is destroyed. Burn wounds expose underlying tissues to pathogens, making infection a major concern during the acute phase.

A. Rheumatoid arthritis. B. Eczema. C. Psoriasis. D. Systemic lupus erythematosus (SLE).

Correct Answer is D

Explanation

A. Rheumatoid arthritis (RA) primarily affects the joints, leading to pain, swelling, and deformities such as ulnar deviation or swan-neck deformities. While the client does have hand joint deformities, RA does not typically cause the characteristic facial rash described as a butterfly pattern. Therefore, RA alone does not fully explain the observed clinical presentation.

B. Eczema is a chronic inflammatory skin condition that causes dry, itchy, scaly patches. While the rash may resemble dryness or scaling, eczema does not present with the classic malar (butterfly-shaped) rash on the face, nor does it cause joint deformities or decreased urinary output. Thus, eczema is unlikely in this case.

C. Psoriasis can produce raised, scaly plaques on the skin and sometimes involve joint inflammation (psoriatic arthritis). However, the typical psoriatic rash does not follow the malar (butterfly) distribution on the face. Additionally, psoriasis does not typically cause pericarditis or kidney involvement, which may explain the decreased urinary output.

D. Systemic lupus erythematosus (SLE) is an autoimmune disorder that can affect multiple organ systems. In this client, the malar (butterfly) rash across the cheeks and nose is a classic cutaneous manifestation of SLE. The joint deformities, often non-erosive, involve small joints of the hands. The history of pericarditis represents a common cardiac manifestation of SLE. The decrease in urinary output suggests possible lupus nephritis, a renal complication of SLE. Taken together, these features strongly support a diagnosis of SLE, making option D the correct choice.

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Naxlex Comprehensive Predictor Exams

A female client sustains a deep partial-thickness burn covering more than 40% of her body. Which physiological response should the nurse anticipate during the acute phase of burn injury?

Correct Answer is A

Explanation

Correct Answer is D

Explanation

The nurse implements a secondary prevention program for tuberculosis in a rural health clinic. Which outcome indicates that the program was effective?

A client on the psychiatric unit is making sexual advances towards a nurse. Which action should this nurse implement first?

A client reports bloating and abdominal cramps after eating ice cream and foods with cheese. Which condition should the nurse suspect?

A client with leukemia who is receiving a myelosuppressive chemotherapy has a platelet count of 25,000/mm3 (25 x 109/L). Which intervention is most important for the nurse to include in this client's plan of care? Reference Range: Platelet count [150,000 to 400,000/mm3 (150 to 400 x 109/L)]

The nurse administers an antibiotic to a client with a respiratory tract infection. To evaluate the medication's effectiveness, which laboratory value(s) should the nurse monitor? Select all that apply.

A client is admitted for treatment of acute diverticulitis with associated nausea and vomiting. Which serum laboratory value is most important for the nurse to monitor during the client's treatment?