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NCLEX Free Practice Questions
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1. Question
A nurse is monitoring a client for signs and symptoms related to superior vena cava syndrome. Which of the following is an early sign of this oncological emergency?
Correct
Answer & Rationale.
Option 3 is Correct.
Rationale: Superior vena cava syndrome occurs when the superior vena cava is compressed or obstructed by tumor growth. Early signs and symptoms generally occur in the morning and include edema of the face, especially around the eyes, and client complaints of tightness of a shirt or blouse collar. As the compression worsens, the client experiences edema of the hands and arms. Mental status changes and cyanosis are late signs.
Test-Taking Strategy: Use the process of elimination and note the strategic word early in the question. Think about the pathophysiology associated with this disorder and focus on the strategic word to assist in eliminating options 1, 2, and 4. If you are unfamiliar with vena cava syndrome, review this oncological emergency.
Incorrect
Answer & Rationale.
Option 3 is Correct.
Rationale: Superior vena cava syndrome occurs when the superior vena cava is compressed or obstructed by tumor growth. Early signs and symptoms generally occur in the morning and include edema of the face, especially around the eyes, and client complaints of tightness of a shirt or blouse collar. As the compression worsens, the client experiences edema of the hands and arms. Mental status changes and cyanosis are late signs.
Test-Taking Strategy: Use the process of elimination and note the strategic word early in the question. Think about the pathophysiology associated with this disorder and focus on the strategic word to assist in eliminating options 1, 2, and 4. If you are unfamiliar with vena cava syndrome, review this oncological emergency.
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