What is the most important goal of nursing care for a client who is in shock? - answer
Manage inadequate tissue perfusion.
The nurse recognizes which of the following symptoms as a classic sign of cardiogenic
shock? - answer Restlessness and confusion
A 26-year-old client is returning for diagnostic follow-up. Her Holter monitor strip reveals
a heart rate with normal conduction but with a rate consistently above 105
beats/minutes. What type of dysrhythmia would you expect the cardiologist to
diagnose? - answer Sinus tachycardia
The patient diagnosed with thrombocytopenia is at risk for which of the following
adverse effects: - answer Bleeding
The nurse understands that patient education related to antihypertensive medication
should include all of the following instructions except which of the following? - answer If
a dosage of medication is missed, double up on the next one to catch up.
Hypertension is defined as "sustained elevations in systolic or diastolic blood pressures
that exceed prehypertension levels." What are some of the consequences of
hypertension that make it such a health menace in the United States? - answerAll
options are correct.
Explanation:
Healthcare professionals have revised guidelines for identifying hypertension because
hypertension places people at risk for heart disease, heart failure, stroke, and kidney
disease.
The nurse is teaching a beginning EKG class to staff nurses. As the nurse begins to
discuss the the parts of the EKG complex, one of the students asks what the normal
order of conduction through the heart is. The correct response would be which of the
following? - answerSinoatrial (SA) node, atrioventricular (AV) node, bundle of His, right
and left bundle branches, and the Purkinje fibers
The neonate in the nurse's care has a pneumothorax. The nurse knows the signs of
early decompensation and to observe carefully for changes in which assessments?
Select all that apply. - answerblood pressure
color
heart rate
, The nurse is assessing an adult who has a pulse rate of 180 beats/minute. Which
condition would the nurse document? - answerTachycardia
A client is admitted to the Emergency Department with a full thickness burn to the right
arm. Upon assessment, the arm is edematous, fingers are mottled, and radial pulse is
now absent. The client states that the pain is 8 on a scale of 1 to 10. The nurse should:
- answercall the health care provider (HCP) to report the loss of the radial pulse.
A blood pressure of 140/90 mm Hg is considered to be - answerhypertension.
A client with cardiac disease gives birth. Afterward, the nurse assesses the client for
signs and symptoms of cardiac decompensation. During the postpartum period, which
assessment finding indicates a need for further investigation? - answerTachycardia
The nurse caring for a client admitted with a deep vein thrombosis is reviewing the
client's prepackaged medications delivered by the pharmacy. The nurse suspects a
pharmacy omission when medication from which of the following classifications is
missing? - answerAnticoagulant
A client is in the eighth month of pregnancy. To enhance cardiac output and renal
function, the nurse should advise her to use which body position? - answerleft lateral
It is appropriate for the nurse to recommend smoking cessation for patients with
hypertension because nicotine - answerincreases the heart rate, constricts arterioles,
and reduces the heart's ability to eject blood.
A client in a short-procedure unit is recovering from renal angiography in which a
femoral puncture site was used. When providing postprocedure care, the nurse should:
- answercheck the client's pedal pulses frequently.
Which type of benign tumor of the eyelids is characterized by superficial, vascular
capillary lesions that are strawberry-red in color? - answerHemangioma
The nurse is caring for a client who is 30 years of age with a fracture of the right femur
and left tibia. Both legs have casts. The nurse assesses the following: respirations are
30 per minute and are rapid and shallow; presence of faint expiratory wheeze; and
coughing produces thin pink sputum. The client is yelling at the nurse and wants to be
released from the hospital; this is behavior unlike that previously reported. The last pain
medication was administered 3 hours ago. The nurse should first: - answernotify the
health care provider (HCP).
During a busy shift, Nurse R. admitted a postsurgical patient who is obese. Nurse R.
used the standard size of blood pressure cuff available on the unit, despite the fact that
the patient's upper arms have a high circumference. What are the potential
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