The nurse is teaching a group of staff nurses about brain (B-type) natriuretic peptide (BNP). Which statement by the group would indicate that they understand the instruction?

"It is an amino acid which reflects damage to the endothelial lining of arteries.

"It is a substance composed of free fatty acids reflective of atherosclerosis

"It is a reliable indicator of the presence of heart failure."

“It is a protein produced by the liver in response to systemic inflammation."

Answer and Explanation

The Correct Answer is C

A. "It is an amino acid which reflects damage to the endothelial lining of arteries." BNP is not related to endothelial damage.

B. "It is a substance composed of free fatty acids reflective of atherosclerosis." BNP is not composed of free fatty acids, and it does not reflect atherosclerosis.

C. "It is a reliable indicator of the presence of heart failure." BNP is a hormone released by the heart in response to increased pressure and volume. Elevated levels of BNP are commonly used as a diagnostic marker for heart failure, especially during exacerbations or decompensation.

D. "It is a protein produced by the liver in response to systemic inflammation." BNP is produced by the heart, not the liver.

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Correct Answer is C

Explanation

A. Deficits in the right visual field: This would be associated with a left-sided stroke, as the right hemisphere controls the left visual field.

B. Motor retardation: This is not a specific sign of right hemisphere stroke. It might be seen with other types of strokes.

C. Poor impulse control: A right hemisphere stroke may cause behavioral changes, including impulsivity, poor judgment, and difficulty in regulating emotions.

D. Unable to discriminate words and letters: This would suggest aphasia, which is typically associated with left hemisphere damage, as the left hemisphere controls language.

A. Removing the cast correctly at the end of the treatment period B. Using crutches efficiently C. Exercising joints above and below the cast, as prescribed D. Reporting signs of impaired circulation

Correct Answer is D

Explanation

A. Removing the cast correctly at the end of the treatment period. The nurse would not instruct the patient to remove the cast. This should be done by a healthcare provider at the appropriate time.

B. Using crutches efficiently. While crutch use is important, it is secondary to monitoring for impaired circulation, which can have immediate, serious consequences.

C. Exercising joints above and below the cast, as prescribed. This may be part of rehabilitation but does not have the same urgency as monitoring circulation for complications.

D. Reporting signs of impaired circulation. The nurse should emphasize the importance of monitoring for signs of impaired circulation, such as increased pain, numbness, or color changes, which could indicate complications like compartment syndrome or poor blood flow.

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The nurse is teaching a group of staff nurses about brain (B-type) natriuretic peptide (BNP). Which statement by the group would indicate that they understand the instruction?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

A nurse is providing discharge education to a client who is going home with a cast on his leg. What education should the nurse emphasize in the teaching session?

Correct Answer is D

Explanation

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