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 B

Explanation

A. A fasting blood glucose level of 126 mg/dL or higher on two separate occasions indicates diabetes.
B. Levels below 70 mg/dL can indicate hypoglycemia, a condition characterized by abnormally low blood sugar levels.
C. A fasting blood glucose level between 100 and 126 mg/dL indicates prediabetes.
D. To get accurate results, the patient should not eat or drink anything except water for 8 hours before the test.

A. Cor Pulmonale B. Flattening of neck veins C. Weight loss D. Shrunken liver

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.

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Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

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

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?

Hospital policy is that any new patient admitted to the hospital will have their blood checked for their Hgb A1C level. Your patient's blood was drawn, and the lab calls you to report that their Hgb A1C level is 5.4. This level is:

Regarding Hgb A1C lab results. Which of the following statements are TRUE? <Select all that apply>

You have just given your patient 0.4 mg IVP of Naloxone for suspected opioid overdose, and the patient has regained consciousness and is breathing normally. Which of the following is your PRIORITY intervention?

An 82-year-old client with COPD presents with restlessness, dyspnea, pursed lips, and tripod position complaining of "not being able to breathe". The nurse should question which of the following orders?

What two diseases comprise COPD?

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?

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?