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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Free Nursing Study Resources

Correct Answer is ["A","E"]

Explanation

A. When the right ventricle is failing, blood can back up into the jugular veins in the neck, causing them to become swollen and visible.
B. Crackles in the lungs are a sign of fluid buildup in the lungs, which is a common finding in left-sided heart failure, but not typically in right-sided heart failure.
C. Pink, Frothy sputum: Pink, frothy sputum can be a sign of pulmonary edema, which is a buildup of fluid in the lungs. However, this is more commonly associated with left-sided heart failure than right- sided heart failure.
D. Paroxysmal nocturnal dyspnea (PND): PND is a symptom of heart failure that causes shortness of breath that occurs at night, often waking the person from sleep. It can occur in both right-sided and left- sided heart failure.
E. In right sided heart failure, fluid can also build up in the legs and ankles, causing swelling that is tender to the touch

A. Unstable B. Variant C. Stable D. Prinzmetal

Correct Answer is C

Explanation

A. This is unpredictable chest pain that occurs at rest or with minimal exertion. It's a more serious condition and often a precursor to a heart attack.
B. Also known as Prinzmetal angina, this occurs at rest due to coronary artery spasms.
C. This is characterized by chest pain that occurs predictably with exertion and is relieved by rest. It's the most common type of angina.
D. This is another name for variant angina.

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Naxlex Comprehensive Predictor Exams

Which of the following would be expected findings in a patient experiencing Right-sided heart failure? (Select all that Apply)

Correct Answer is ["A","E"]

Explanation

Your patient states that he experiences chest pain that increases with activity and decreases with rest. He is most likely describing which type of Angina?

Correct Answer is C

Explanation

For a patient who is taking a Fasting blood glucose test, which of the following statements is FALSE?

You are teaching the patient about avoiding triggers which could cause an asthma attack to happen. Which of the following are potential triggers that you would instruct the patient with asthma to avoid?

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

Metabolic syndrome is a set of patient findings that place them at high risk for developing Type 2 Diabetes Mellitus. Which of the following findings would be consistent with Metabolic Syndrome?

A nurse at a clinic is talking with a patient who has cancer and takes extended-release opioids BID. The patient reports an increase in localized, achy pain over the last few days. How should the nurse document this increase in pain?

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?

Hypertensive Crisis is diagnosed when a patient's SBP is:

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.?