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","B","C","E"]

Explanation

A. Flexible sigmoidoscopy: This test is recommended for colorectal cancer screening and can detect abnormalities in the lower part of the colon.

B. Double contrast barium enema: This test is used in colorectal cancer screening to provide images of the colon and rectum.

C. Fecal occult blood test: This test detects hidden blood in the stool, which can be an early sign of colorectal cancer.

D. Upper endoscopy: This test examines the upper gastrointestinal tract, not used for colorectal cancer screening.

E. Colonoscopy: This test is a primary screening method for colorectal cancer, allowing for direct visualization and biopsy of the colon.

A. Gallops B. Murmurs C. Normal findings D. Bruits

Correct Answer is D

Explanation

A. Gallops refer to abnormal heart sounds that occur during the cardiac cycle, not typically associated with sounds over the carotid artery.

B. Murmurs are abnormal heart sounds that occur due to turbulent blood flow in the heart, not typically related to the carotid artery.

C. Normal findings would not usually include high-pitched swooshing sounds over the carotid artery; such sounds are abnormal.

D. Bruits are abnormal sounds caused by turbulent blood flow in the arteries, which can be detected as high-pitched swooshing sounds over the carotid artery, often indicative of stenosis or narrowing of the vessel.

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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 knows screening test(s) for colorectal cancer detection according to recommendations from the American Cancer Society (2018) includes? (Select all that apply.)

Correct Answer is ["A","B","C","E"]

Explanation

The nurse hears high-pitched swooshing sounds over the carotid artery on the right side. What is this sound indicative of?

Correct Answer is D

Explanation

While auscultating heart sounds, asking the client to turn onto a left lying position would help the nurse assess the presence of which of the following?

The nurse assesses a client with lower abdominal pain who reports localized tenderness in the right lower quadrant. Which assessment should the nurse conduct next?

While conducting a physical examination of the cardiovascular system, the nurse hears fine crackles on auscultation of the lungs. This finding is most likely a manifestation of which problem?

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A mitral insufficiency/regurgitation murmur is classified as:

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

During the physical assessment of the peripheral vascular system, a client's foot is pale when elevated and dark red when in the dependent position. The nurse is concerned that this client is at risk for developing:

What is responsible to move the blood supply from the feet toward the inferior vena cava?