You are an RN taking report on a new patient that will be transferred to your unit. During the report, you learn that the patient has Acanthosis Nigricans. What do you expect to see when you finally get to perform a physical assessment of the patient?

Darkened urine coloration

Tachycardia

Increased pigmentation of the patients Iris

Brownish, thickened skin around the patient's neck or armpits

Answer and Explanation

The Correct Answer is D

A.   This is unrelated to acanthosis nigricans. Darkened urine might indicate liver issues or other conditions.
B.   This is an increased heart rate, unrelated to skin conditions.
C.   This refers to the colored part of the eye and is unrelated to acanthosis nigricans.
D.   This is accurately describes the appearance of acanthosis nigricans. This is characterized by dark, thickened, velvety patches of skin in body folds and creases. These areas commonly include the armpits, groin, and neck.

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Correct Answer is A

Explanation

A. Cor Pulmonale is right-sided heart failure caused by pulmonary hypertension, which is often a complication of COPD due to increased pressure in the pulmonary arteries.
B. Flattening of neck veins is associated with fluid overload, not with right-sided heart failure.
C. While weight loss can occur in COPD patients due to increased energy expenditure, it is not directly related to the development of cor pulmonale.
D. The liver might actually become enlarged due to congestion from right-sided heart failure.

A. Ventricular dysfunction B. Orthopnea C. Cor Pulmonale D. Congestive HF

Correct Answer is C

Explanation

A. This is a general term that can refer to problems with either the left or right ventricle of the heart. It doesn't specifically address the relationship between lung pressure and right-sided heart failure.
B. This is a symptom of heart failure, specifically difficulty breathing when lying down. It's not a diagnostic term for the condition itself.
C. It specifically refers to right-sided heart failure that is caused by increased pressure in the lungs (pulmonary hypertension).
D. This is a general term for heart failure where the heart is unable to pump blood effectively, leading to congestion in various parts of the body. While it can include right-sided heart failure, it doesn't specifically address the underlying cause of increased lung pressure.

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You are an RN taking report on a new patient that will be transferred to your unit. During the report, you learn that the patient has Acanthosis Nigricans. What do you expect to see when you finally get to perform a physical assessment of the patient?

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Naxlex Comprehensive Predictor Exams

COPD is known to cause air trapping and stiff alveoli leading to increased pulmonary pressure. When the right side of the heart tries to pump blood against this increased pressure in the lungs, it can result in:

Correct Answer is A

Explanation

What is the term used to describe Right-sided heart failure that is caused by increased pressure in the lungs?

Correct Answer is C

Explanation

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