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.
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. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Choice A is not the answer. Hypertension refers to high blood pressure and is not the term used to describe insufficient coronary blood flow to meet the metabolic demands of myocytes. Therefore, this statement is not relevant to the scenario described.
Choice B rationale:
Choice B is not the answer. Metabolic syndrome is a cluster of conditions that increase the risk of heart disease, stroke, and type 2 diabetes. It is not the term used to describe insufficient coronary blood flow. Therefore, this statement is not relevant in this context.
Choice C rationale:
The correct answer is choice C. Myocardial ischemia is the term used to describe insufficient coronary blood flow to meet the metabolic demands of myocytes. Myocardial ischemia occurs when the heart muscle (myocardium) does not receive enough blood and oxygen to function properly, which can lead to chest pain or angina. This term accurately describes the scenario provided in the question.
Choice D rationale:
Choice D is not the answer. Diuresis refers to increased urine production and is not the term used to describe insufficient coronary blood flow. Therefore, this statement is not relevant in this context.
Correct Answer is A
Explanation
Choice A rationale:
Acute pericarditis is a cardiovascular complication that can occur in patients with human immunodeficiency virus (HIV). This condition involves inflammation of the pericardium, the membrane surrounding the heart. In patients with HIV, pericarditis may result from opportunistic infections or HIV-related complications. The inflammation can lead to chest pain, dyspnea, and other cardiac symptoms, making it an important consideration in the assessment of these patients.
Choice B rationale:
Stable angina is not typically a cardiovascular complication of HIV. While HIV can affect the cardiovascular system, stable angina is more commonly associated with coronary artery disease and atherosclerosis.
Choice C rationale:
Buerger's disease is not a cardiovascular complication associated with HIV. Buerger's disease, also known as thromboangiitis obliterans, is a vascular condition primarily linked to tobacco use. It involves inflammation and thrombosis of small and medium-sized arteries, leading to limb ischemia.
Choice D rationale:
Raynaud's phenomenon is not a cardiovascular complication related to HIV. Raynaud's phenomenon is characterized by vasospasm of small arteries and arterioles, typically affecting the fingers and toes. It is not a direct consequence of HIV infection.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.