The nurse is caring for a client with Cushing's triad. The nurse expects the client to have:

Irregular respirations, bradycardia, and widening pressure

Hypotension, jugular venous distention, and mufled heart sound

Fixed pupils, hypertension, and bradycardia

Bradycardia, hypotension, and bradypnea

Answer and Explanation

The Correct Answer is C

Choice A rationale: Irregular respirations, bradycardia, and widened pulse pressure might indicate increased intracranial pressure.

Choice B rationale: This set of symptoms is often seen in cardiac tamponade and is referred to as the Beck’s triad and not Cushing's triad.

Choice C rationale: Cushing's triad is a set of clinical signs associated with increased intracranial pressure (ICP) and typically includes bradycardia (slow heart rate),

hypertension (elevated blood pressure), and irregular breathing patterns. Fixed pupils can also be present in some cases, but it's important to note that this triad is not always consistently present and may vary from person to person.

Choice D rationale: This set of symptoms describes symptoms of shock, not specifically Cushing's triad.

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Correct Answer is B

Explanation

Choice A rationale: A calcium level of 8.6 mg/dL is within the normal range.

Choice B rationale: An elevated white blood cell count (WBC) of 19,000 mm3 indicates a potential infection or inflammatory process, requiring immediate attention, especially in a client receiving peritoneal dialysis.

Choice C rationale: A serum pH of 7.33 is within the normal range.

Choice D rationale: A hemoglobin level of 9 mg/dL might indicate anemia, but in a client receiving dialysis, it might not require immediate reporting unless it significantly drops further.

A. Meningitis B. Inflammation of the fallopian tubes and oophoritis C. Condyloma acuminata D. Dysplasia

Correct Answer is B

Explanation

Choice A rationale: PID is not associated with meningitis, which is an infection or inflammation of the meninges.

Choice B rationale: Chronic PID typically involves long-term inflammation of the pelvic organs, including the fallopian tubes and ovaries.

Choice C rationale: This condition refers to genital warts caused by HPV, not directly related to PID.

Choice D rationale: Dysplasia refers to abnormal cell growth or development and isn't directly associated with PID.

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The nurse is caring for a client with Cushing's triad. The nurse expects the client to have:

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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