The nurse is caring for a patient with a history of left-sided ...

[crobinson2013]

The nurse is caring for a patient with a history of left-sided congestive heart failure (CHF). Which finding leads the nurse to suspect that the patient could be experiencing an acute exacer-bation of this condition?
 
  a. The abdomen is tight and shiny.
  b. Wheezes are present during lung ausculta-tion.
  c. The pupils react sluggishly to light.
  d. The heart rate is irregularly irregular.

Question 2

The nurse is caring for a middle-aged woman who is not sexually active. The patient questions the nurse about the recommended frequency of Pap smears. Which response is best?
 
  a. Annual screening is recommended.
  b. Screening is not needed for women who are not sexually active.
  c. Screening in the woman who is not sex-ually active may be spaced every 5 to 7 years.
  d. In the woman with negative screenings, the Pap test may be repeated every 3 years.

[heinisk01]

Answer to Question 1

B
Left-sided heart failure causes increased pressure on the lungs and may manifest in wheezing. A tight and shiny abdomen is consistent with ascites, a manifestation of right-sided CHF. Sluggish pupillary reaction is consistent with a neurologic problem, and an irregularly irregular heart rate is consistent with a cardiac arrhythmia like atrial fibrillation.

Answer to Question 2

D
Women with three consecutive negative screenings at age 30 should have repeated testing every 3 years until age 65, when testing of asymptomatic women is no longer necessary.
American Congress of Obstetricians and Gynecologists (ACOG) recommends that cervical can-cer screening should begin at age 21 and be repeated every 2 years between ages 21 and 29 in asymptomatic women. Women with three consecutive negative screenings at age 30 should have repeated testing every 3 years until age 65, when testing of asymptomatic women is no longer necessary. Women with cervical pathology or cancer should be screened annually for 20 years after treatment.

[crobinson2013]

Thank you

[heinisk01]

Happy to help you