During a health history, a male client tells the nurse that he "can't breathe well" at night when he is lying down and has trouble sleeping because he wakes up with trouble breathing. The nurse would assess this client further for which of the following?

Bronchitis

Heart failure

Pneumonia

Tuberculosis

Answer and Explanation

The Correct Answer is B

A. Bronchitis primarily causes coughing and mucus production, and does not specifically relate to trouble breathing while lying down.

B. Heart failure often leads to orthopnea (difficulty breathing while lying flat) and paroxysmal nocturnal dyspnea (waking up at night with difficulty breathing). These symptoms align with the client's reported issues.

C. Pneumonia usually presents with acute symptoms such as cough, fever, and chest pain, rather than the specific nocturnal breathing difficulty described.

D. Tuberculosis typically involves symptoms like chronic cough, night sweats, and weight loss, rather than difficulty breathing while lying down.

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Correct Answer is A

Explanation

A. Posterior tibial: The posterior tibial pulse is palpated just behind the medial malleolus of the ankle, near the Achilles tendon.
B. Femoral: The femoral pulse is located in the groin area, where the femoral artery passes.
C. Popliteal: The popliteal pulse is palpated behind the knee in the popliteal fossa.
D. Dorsalis pedis: The dorsalis pedis pulse is located on the top of the foot, near the first metatarsal.

A. Rovsing sign B. Obturator sign C. Murphy sign D. Psoas sign

Correct Answer is ["A","B","D"]

Explanation

A. Rovsing sign: This sign involves pain in the right lower quadrant when palpating the left lower quadrant, indicating appendicitis.

B. Obturator sign: Pain on internal rotation of the hip when the knee is flexed can indicate irritation of the appendix.

C. Murphy sign: This sign is used to assess for cholecystitis, not appendicitis.

D. Psoas sign: Pain with extension of the right leg can indicate irritation of the appendix due to the psoas muscle.

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During a health history, a male client tells the nurse that he "can't breathe well" at night when he is lying down and has trouble sleeping because he wakes up with trouble breathing. The nurse would assess this client further for which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse assesses the client as shown. What pulse is the nurse assessing?

Correct Answer is A

Explanation

When assessing for appendicitis, what signs might the nurse look for? (Select all that apply.)

Correct Answer is ["A","B","D"]

Explanation

The nurse is planning care for a client recovering from orthopedic surgery. Interventions should be included to address which contributing factor to deep vein thrombosis development?

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Of the four types of stethoscopes, which one is most unsuitable to conduct a full cardiac examination?

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