Listen.
Which of the following patients should be monitored closely by the nurse for superior vena cava syndrome?

76-year-old man with congestive heart failure.

66-year-old woman with bronchogenic cancer.

26-year-old woman who has just delivered her first child.

6-year-old child with severe asthma.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

A 76-year-old man with congestive heart failure may experience superior vena cava syndrome (SVCS) due to the increased pressure in the superior vena cava, but SVCS is more commonly associated with malignancies that compress or invade the superior vena cava. While this patient may be at risk for SVCS, the woman with bronchogenic cancer in choice B is at higher risk.

Choice B rationale:

The correct choice. Patients with bronchogenic cancer, particularly lung cancer, are at a higher risk of developing superior vena cava syndrome (SVCS) due to tumor invasion or compression of the superior vena cava. SVCS can cause a range of symptoms, including facial and upper body swelling, dilated neck veins, and difficulty breathing.

Choice C rationale:

A 26-year-old woman who has just delivered her first child is unlikely to develop superior vena cava syndrome (SVCS) as a result of childbirth. SVCS is more commonly associated with malignancies or other factors that cause obstruction or compression of the superior vena cava.

Choice D rationale:

A 6-year-old child with severe asthma is less likely to develop SVCS compared to adults, as SVCS is primarily associated with malignancies and other conditions that lead to obstruction of the superior vena cava. While severe asthma can cause respiratory distress, it is not a typical cause of SVCS in children. .

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Correct Answer is A

Explanation

Choice A rationale:

Silent ischemia is a condition in which a patient experiences myocardial ischemia (lack of blood flow to the heart muscle) without typical symptoms like chest pain. This is why the patient with silent ischemia typically does not report chest pain. Instead, they may have atypical symptoms or remain asymptomatic. The absence of chest pain is a key characteristic of silent ischemia.

Choice B rationale:

Intermittent claudication is not associated with silent ischemia. It is a symptom typically related to peripheral arterial disease (PAD), where reduced blood flow to the extremities causes pain during physical activity. Silent ischemia, on the other hand, primarily involves the heart and is not characterized by intermittent claudication.

Choice C rationale:

Excessive bleeding is not a typical symptom of silent ischemia. Silent ischemia is primarily related to inadequate blood flow to the heart muscle, leading to myocardial ischemia, but it does not cause bleeding. This choice is unrelated to the condition in question.

Choice D rationale:

Fever is not a typical symptom of silent ischemia. This choice is unrelated to the condition, as silent ischemia primarily involves the heart and is not associated with fever.

A. Syncope. B. Weak pulses and decreased skin temperature. C. Oliguria. D. Dyspnea and cough.

Correct Answer is D

Explanation

Choice A rationale:

Choice A is not the answer. Syncope refers to fainting or losing consciousness, and it is not typically an assessment finding associated with pulmonary edema. The symptoms of pulmonary edema are more related to respiratory distress and fluid overload rather than loss of consciousness. Therefore, this statement is not relevant to the development of pulmonary edema in left-sided heart failure.

Choice B rationale:

Choice B is not the answer. Weak pulses and decreased skin temperature are not specific assessment findings for pulmonary edema. In pulmonary edema, patients often exhibit symptoms such as shortness of breath, wheezing, crackles in the lungs, and pink frothy sputum. These symptoms are related to the accumulation of fluid in the lungs, rather than changes in peripheral pulses or skin temperature.

Choice C rationale:

Choice C is not the answer. Oliguria refers to reduced urine output, and while it can be related to kidney dysfunction in some cases, it is not a direct assessment finding of pulmonary edema. Pulmonary edema primarily presents with respiratory symptoms, such as severe dyspnea, cough, and audible crackles in the lungs, due to fluid accumulation.

Choice D rationale:

The correct answer is choice D. Dyspnea and cough are key assessment findings that indicate to the nurse that pulmonary edema has developed in a patient with left-sided (congestive) heart failure. Pulmonary edema is characterized by the accumulation of fluid in the lungs, leading to severe difficulty in breathing (dyspnea) and a productive cough with frothy, pink-tinged sputum. These respiratory symptoms are typical of pulmonary edema and should alert the nurse to its presence. .

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Listen.Which of the following patients should be monitored closely by the nurse for superior vena cava syndrome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Listen.A patient presents with silent ischemia.Which assessment finding is typical with this condition?

Correct Answer is A

Explanation

(1 point). Listen.A patient has left-sided (congestive) heart failure.Which assessment findings will indicate to the nurse that pulmonary edema has developed?

Correct Answer is D

Explanation

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(1 point):. An elderly patient asks the nurse what causes aortic stenosis later in life.How should the nurse respond? Aortic stenosis usually results from:.

(1 point). Solved.Listen.A nurse is describing the pathophysiology of acute coronary syndromes.Which information should the nurse include? The most important component in the development of acute coronary syndromes is a decrease in supply or an increase in demand for:.

Listen.
Which of the following patients should be monitored closely by the nurse for superior vena cava syndrome?