he nurse is collecting the health history of a patient hospitalized for possible infective endocarditis. Which findings would the nurse evaluate as supporting this presumptive diagnosis?
1. The patient reports having rheumatic heart disease as a child.
2. The patient has asthma.
3. The patient had a routine screening colonoscopy 1 month ago.
4. The patient is maintained on hemodialysis.
5. The patient has developed osteoarthritis over the last 2 years.
1, 3, 4
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Select the priority nursing assessments for the woman having tocolytic therapy with terbutaline
a. Fetal heart rate, maternal pulse, and blood pressure b. Internal temperature and odor of amniotic fluid c. Intake and output d. Maternal blood glucose
A client with a history of myocardial infarctions states to the nurse, "I have been smoking for 35 years. It will not matter if I stop now." Which is the priority response from the nurse?
A) "Your risk of continued coronary heart disease will decrease by half when you stop." B) "Quitting will enhance the effects of your medications." C) "Your risk of lung cancer will be reduced." D) "Quitting will decrease any complications you might develop."
The patient has a permanent pacemaker inserted. The provider has set the pacemaker to the demand mode at a rate of 60 beats per minute. The nurse realizes that:
a. the pacemaker will pace only if the patient's intrinsic heart rate is less than 60 beats per minute. b. the demand mode often competes with the patient's own rhythm. c. the demand mode places the patient at risk for the R-on-T phenomenon. d. the fixed rate mode is safer and is the mode of choice.
After a birth complicated by a shoulder dystocia, the infant's Apgar scores were 7 at 1 minute and 9 at 5 minutes. The infant is now crying vigorously. The nurse in the birthing room should:
a. palpate the infant's clavicles. b. encourage the parents to hold the infant. c. perform a complete newborn assessment. d. give supplemental oxygen with a small face mask.