During a blood pressure screening at a pharmacy an older person experiences a fluttering in the chest. What should the nurse interpret this finding as being?

1. Hypothyroidism
2. Exercise intolerance
3. Nonspecific cardiac changes with aging
4. Underlying illness that requires a medical evaluation


4
Rationale: Chest fluttering can be a sign of hyperthyroidism, not hypothyroidism.

Nursing

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When performing cardiopulmonary resuscitation on an adult client, what compression-to-ventilation rate should be maintained?

a. 1 compression and 1 ventilation c. 10 compressions and 2 ventilations b. 5 compressions and 1 ventilation d. 15 compressions and 2 ventilations

Nursing

An older client is having difficulty handling the specimen cup for a clean catch urine specimen. What can the nurse do to help this client?

1. Provide a clean funnel to pour the urine into the specimen cup. 2. Document that the specimen could not be obtained. 3. Catheterize the client for the specimen. 4. Ask the physician to obtain the specimen.

Nursing

What are the most common side effects of selective serotonin reuptake inhibitors (SSRIs)?

a. Orthostatic hypotension b. Dry mouth c. Sleep disturbances d. Agitation e. Nausea

Nursing

A client who is fully awake after a gastroscopy asks the nurse for something to drink. After confirming that liquids are allowed, which assessment action should the nurse consider a priority?

A) Listen to bilateral lung and bowel sounds. B) Obtain the client's pulse and blood pressure. C) Assist the client to the bathroom to void. D) Check the client's gag and swallow reflexes.

Nursing