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12. A patient with a myocardial infarction is clammy, tachycardic, and disorient

ID: 148534 • Letter: 1

Question

12. A patient with a myocardial infarction is clammy, tachycardic, and disoriented. The nurse recognizes that he has shock that is described as a. Vasogenic. b. Cardiogenic C. Distributive. d. Hypovolemic 13. A2year old boy is brought to the emergency department after a bee sting. He is wheezing and has urticaria and diffuse erythema. The nurse, recognizing that an allergic reaction can progress rapidly, should: a Ensure adequate airway and ventilation. b. Apply cold packs to the affected area for comfort c. Administer antibiotics to prevent infection. d. Administer steroids and antihistamines to counteract swelling 14. A 36 year old woman receiving antibiotic therapy for a gram-negative infection comes to the emergency department complaining of weakness, restlessness, and thirst. The vital sign assessment reveals a temperature of 103.8 F (39.9e C). The nurse recognizes that this patient is likely experiencing a. Anaphylactic shock b Neurogenic shock c. Septic shock d. Anxiety reaction. 15. A client with Squamous cell carcinoma of the lung comes to the emergency department with shortness of breath and respiratory difficulty. The nurse notes cyanosis and edema of the face and srms,. Based on these findings, the surse suspects the client is probably a. Spinal cord compression. b. Syndrome of inappropriate antidiuretic hormone (SIADIH) . Superior vena cava syndrome 16. The clinic nurse is discussing risk factors for cancer with a male client, who asks which cancers have the highest ineidence in men. In order of occurrence, the nurse should reply that the client has greatest risk for which cancers based on gender? a. Lung, prostate, and colorectal cancers. b. Prostate, lung, and colorectal cancers c Colorectal, lung, and prostate cancers. d. Prostate, colorectal, and lung cancers 17. After completing a health risk examination on an adult client, the nurse determines bealth education is necessary because of an increased risk for laryngeal cancer caused by w factors? Select all that apply a. b. Past infection with Epstein-Barr virus. Past exposure to asbestos.

Explanation / Answer

12. b. Cardiogenic shock

Myocardial infarction (MI), commonly known as a heart attack, occurs when blood flow. An MI may cause heart failure, an irregular heartbeat, cardiogenic shock, or cardiac arrest.

13. d. Administer steroids and antihistamines to counteract swelling.

15. c. Superior vena cava syndrome

Symptoms include swelling of the face and arms associated with shortness of breath.

16. b. Prostate, lung and colorectal cancers.

17. b. Past exposure to asbestos.

It is now generally accepted that high concentration of asbestos or long-term exposure to asbestos can cause laryngeal cancer in exposed occupational clusters.