The nurse is taking a health history and notes the patient has a history of a splenectomy. For which condition is this patient at risk?

Liver disease

Lupus

Pneumonia

Renal disease

Answer and Explanation

The Correct Answer is C

A. While a splenectomy can lead to increased workload on the liver, it does not directly predispose the patient to liver disease.
B. A history of splenectomy does not specifically increase the risk of lupus.

C. Patients who have undergone splenectomy are at increased risk of certain infections, particularly encapsulated bacteria such as Streptococcus pneumoniae, which can cause pneumonia.
D. A history of splenectomy does not directly increase the risk of renal disease.

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Correct Answer is B

Explanation

A. The QRS interval may vary but is typically less than 0.12 seconds in normal sinus rhythm.
B. Normal sinus rhythm typically has a heart rate between 50 and 100 beats per minute.
C. In normal sinus rhythm, P waves are typically upright and precede each QRS complex.
D. The PR interval may vary but is typically between 0.12 and 0.20 seconds in normal sinus rhythm.

A. Urine specific gravity 1.020 B. Amber yellow urine color C. Absence of glucose in the urine D. Microscopic hematuria

Correct Answer is D

Explanation

A. A specific gravity within the normal range indicates adequate urine concentration and hydration status, which is not typically concerning.
B. This color is indicative of normal urine concentration and hydration status and is not necessarily indicative of urinary tract pathology.
C. Absence of glucose in the urine is a normal finding and does not typically warrant further investigation.
D. Microscopic hematuria (blood in the urine not visible to the naked eye) may indicate underlying urinary tract pathology, such as infection, inflammation, or kidney stones, and should be reported to the provider for further evaluation and management.

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The nurse is taking a health history and notes the patient has a history of a splenectomy. For which condition is this patient at risk?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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