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1. The nurse hears short, Fine crackles are short, high pitched sounds heard just
high-pitched sounds just before before the end of inspiration that are the result of rapid
the end of inspiration in the equalization of pressure when collapsed alveoli or terminal
right and left lower lobes when bronchioles suddenly snap open.
auscultating a client's lungs.
How should this finding be
recorded?
2. The nurse is assessing an older Ptosis is the term used to describe an eyelid droop that
client and determines that the covers a large portion of the iris, which may result from
client's left upper eyelid droops, oculomotor nerve or eyelid muscle disorder.
covering more of the iris than
the right eyelid. Which descrip-
tion should the nurse use to doc-
ument this finding?
3. A client's family asks why their Pulmonary artery catheters are used to measure central
mother with heart failure needs pressures and fluid balance. Even though all clients in the
a pulmonary artery catheter ICU require close monitoring, they do not all need a PA
now that she is in the ICU. What catheter
information should the nurse in-
clude in the explanation to the
family?
4. Several hours after surgical re- Postoperative complications of surgical repair of AAA are
pair of an abdominal aortic related to the location of resection, graft, or stent placement
aneurysm, the client develops along the abdominal aorta. Embolization of a fragment of
left flank pain. The nurse deter- thrombus or plaque from the aorta into a renal artery can
mines the client's urinary output compromise blood flow in one of the renal arteries, resulting
is 20 mL/hr for the past 2 hours. in renal ischemia that precipitates unilateral flank pain.
5.
, Advanced Patho HESI
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The nurse should conclude that Intraoperative blood loss or rupture of the aorta anastomo-
these findings support which sis can cause acute renal failure related to hypovolemia.
complication?
6. The nurse is assessing a post- This constellation of signs in a postmenopausal woman are
menopausal woman who is characteristic of cystocele.
complaining of urinary urgency
and frequency and stress incon-
tinence. She also reports difficul-
ty emptying her bladder. These
complaints are most likely due
to which condition?
7. A male client who has never Adenocarcinoma is the only lung cancer not related to cig-
smoked by has had COPD is now arette smoking. It has been found to be directly related
being assessed for cancer of the to lung scarring and fibrosis from preexisting pulmonary
lung. The nurse knows that he disease such as TB or COPD.
is most likely to develop which
type of lung cancer?
8. Muscular Dystrophy is charac- Skeletal muscle degeneration is a classic symptom of mus-
terized by which pathophysio- cular dystrophy.
logical condition?
9. The nurse is preparing to ad- Atropine may be prescribed to increase the automaticity
minister atropine, an anticholin- of the SA node and prevent a dangerous reduction in HR
ergic, to a client who is sched- during surgical anesthesia.
uled for a cholecystectomy. The
client asks the nurse to explain
the reason for the prescribed
medication. What is the best re-
sponse for the nurse to provide?