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The nurse is assessing a client with bacterial meningitis. Which
assessment finding indicates the client may have developed septic
emboli?
A. Cyanosis of the fingertips.
B. Bradycardia and bradypnea.
C. Presence of S3 and S4 heart sounds.
,D. 3+ pitting edema of the lower extremities. - ANSWER ✔✔A.
Cyanosis of the fingertips.
Septic emboli secondary to meningitis commonly lodge in the small
arterioles of the extremities, causing a decrease in circulation to the
hands which may lead to gangrene.
A 77-year-old female client is admitted to the hospital. She is confused,
has no appetite, is nauseated and vomiting, and is complaining of a
headache. Her pulse rate is 43 beats per minute. It is most important for
the nurse to assess for which finding?
A. Wearing dentures.
B. Use of aspirin prior to admit.
C. Prescribed nitroglycerin for chest pain.
D. Takes digitalis. - ANSWER ✔✔D. Takes digitalis.
Although it is important to obtain a complete medication history, the
symptoms described are classic for digitalis toxicity, and assessment of
this problem should be made promptly. Elderly persons are particularly
susceptible to digitalis intoxication which manifests itself in such
, symptoms as anorexia, nausea, vomiting, diarrhea, headache, and
fatigue.
A 58-year-old client who has been post-menopausal for five years is
concerned about the risk for osteoporosis because her mother has the
condition. Which information should the nurse offer?
A. Osteoporosis is a progressive genetic disease with no effective
treatment.
B. Calcium loss from bones can be slowed by increasing calcium intake
and exercise.
C. Estrogen replacement therapy should be started to prevent the
progression osteoporosis.
D. Low-dose corticosteroid treatment effectively halts the course of
osteoporosis. - ANSWER ✔✔B. Calcium loss from bones can be
slowed by increasing calcium intake and exercise.
Post-menopausal females are at risk for osteoporosis due to the
cessation of estrogen secretion, but a regimen including calcium, vitamin
D, and weight-bearing exercise can help prevent further bone loss.
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