The nurse is collecting data on a patient with minor chronic venous disease. What findings are anticipated?

Purple lesions

Ankle edema

Telangiectasias

Palpable nodules

Answer and Explanation

The Correct Answer is B

Choice A reason: Purple lesions could be associated with more severe venous disease or other conditions, not necessarily minor chronic venous disease.

Choice B reason: Ankle edema is a common finding in chronic venous disease due to the pooling of blood in the lower extremities.

Choice C reason: Telangiectasias, also known as spider veins, are commonly seen in chronic venous disease as they are small, visible blood vessels that can be part of the condition.

Choice D reason: Palpable nodules are not typically associated with minor chronic venous disease and could indicate other medical issues.

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Correct Answer is D

Explanation

Choice A reason: This statement is incorrect because it suggests that higher oxygen levels trigger breathing, which is not the case in hypoxic drive.

Choice B reason: While carbon dioxide levels do influence breathing, this statement is not accurate in the context of hypoxic drive, which is specifically about oxygen levels.

Choice C reason: This choice is incorrect because the client does notice the need to breathe, but the trigger is low oxygen rather than high carbon dioxide levels.

Choice D reason: This is correct. In clients with COPD, chronic high levels of carbon dioxide can lead to a reliance on low oxygen levels to stimulate breathing.

A. Use sterile gloves to place gentle pressure on the exposed organs. B. Have the client lie supine with legs straight. C. Gently suction secretions from the wound bed using a 12-gauge sterile catheter. D. Cover the area with saline-soaked sterile dressings.

Correct Answer is D

Explanation

Choice A reason: Applying gentle pressure on the exposed organs is not recommended as it can cause further damage.

Choice B reason: Having the client lie supine with legs straight is part of the correct positioning, but it does not address the need to protect the exposed organs.

Choice C reason: Suctioning secretions from the wound bed is not the immediate priority and can be harmful to the exposed tissues.

Choice D reason: Covering the area with saline-soaked sterile dressings is the correct intervention to keep the organs moist and reduce the risk of organ damage until surgical repair can be performed.

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The nurse is collecting data on a patient with minor chronic venous disease. What findings are anticipated?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with COPD should receive only 1-2 liters per minute of oxygen, if needed, or they may lose their hypoxic drive. Which of the following statements is correct about hypoxic drive?

Correct Answer is D

Explanation

A nurse is caring for a client who is 5 days postoperative after abdominal surgery. The client reports a sudden pulling sensation and pain in his surgical incision. Upon examination, the nurse finds an evisceration. Which of the following interventions is appropriate?

Correct Answer is D

Explanation

The nurse is caring for a patient undergoing surgery with the nursing diagnosis of deficient knowledge related to lack of previous surgical experience. Which nursing intervention is appropriate? (Select all that apply.)

We encourage the patient to cough and deep breathe after surgery to prevent:

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