Your patient was placed on NPO status last night at midnight in anticipation of having surgery today at 0700. The start of surgery was delayed until 1500 today, and your patient just returned from the OR. The wife of the patient calls you to the room and says her husband is hungry. When you talk to the patient you notice he is sweating and when you feel his pulse is tachycardic. What is MOST likely the cause?

DVT

Hypoglycemia

Hyperglycemia

Delayed anxiety

Answer and Explanation

The Correct Answer is B

A.   Symptoms of DVT typically include pain, swelling, and redness in the affected leg, not sweating and tachycardia.
B.   Given the patient's NPO status since midnight, the prolonged fasting coupled with the stress of surgery can lead to low blood sugar. Symptoms of hypoglycemia include sweating, tachycardia, and hunger.
C.   Symptoms of hyperglycemia usually include increased thirst, frequent urination, and fatigue, not sweating and tachycardia.
D.   While anxiety can cause some physical symptoms, sweating and tachycardia are more characteristic of hypoglycemia in this context.

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Correct Answer is A

Explanation

A. Asthma is a reversible obstructive airway disease characterized by inflammation and narrowing of the airways. With proper management and medication, asthma symptoms can be controlled, and airway obstruction can be reversed.
B. COPD is a progressive, irreversible lung disease that involves damage to the alveoli and airways. While symptoms can be managed, the underlying lung damage is permanent.
C. Emphysema is a type of COPD characterized by destruction of the alveoli. It is irreversible.
D. Bronchitis is inflammation of the bronchial tubes. While acute bronchitis can be reversed, chronic bronchitis is a component of COPD and is therefore irreversible.

A. Pink skin B. Barrel chest C. Cyanotic skin tone D. Pursed-lip breathing

Correct Answer is C

Explanation

A. Pink skin is characteristic of emphysema. Unlike chronic bronchitis, patients with emphysema often maintain adequate oxygen levels until the disease is very advanced.
B. Barrel chest is a classic sign of emphysema due to air trapping in the lungs, causing the chest to become hyperinflated.
C. Cyanotic skin tone is more common in chronic bronchitis due to chronic hypoxia.
D. Pursed-lip breathing is a common technique used by patients with emphysema to help them exhale more completely.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The RN knows that which of the following diseases are Reversible:

Correct Answer is A

Explanation

Patients with Emphysema can sometimes display some characteristic signs and symptoms. Which of the following is NOT commonly one of these characteristic signs?

Correct Answer is C

Explanation

Your STEMI patient returns from the Cath lab, after having Balloon Angioplasty percutaneously through their femoral artery. Which of the following Signs and Symptoms would be indicative of Cardiac Tamponade?

Your patient with Diabetes Insipidus is prescribed Vasopressin. Which of the following findings in your patient's medical history should cause you to question the order with the Dr.?

Patients with Chronic Bronchitis can sometimes display some characteristic signs and symptoms. Which of the following is NOT commonly one of these characteristic signs?

You are caring for a patient who has been diagnosed with Diabetes Insipidus. You know that because of decreasing amount of water in the body, the patient is MOST at risk for:

Your patient is a 50-year-old female who was brought into the hospital several days ago and diagnosed with Type 1 Diabetes Mellitus. Which of the following lab results would be expected?

A nurse in the emergency department is caring for a client who is experiencing an acute asthma attack. Which of the following statements indicates that the respiratory status is declining?

COPD is known to cause decreased levels of Oxygen saturation in the blood. This chronic hypoxemia can lead to the body to compensate and produce more Red Blood Cells (RBCs) which increases the Hematocrit. This result is called:

You are an RN in a busy Emergency Department. A patient comes in with Type 2 Diabetes Mellitus. Which of the following signs and symptoms would you NOT expect the patient to report experiencing?