A patient has had an arteriovenous graft inserted for dialysis. What nursing physical examination finding indicates patency of the graft?
A) Auscultation of a bruit over the renal artery
B) Palpation of a thrill over the graft
C) Distal pulses are 3+ to palpation
D) Blood pressure within normal limits
B
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The nurse is caring for a patient admitted with unstable angina. The laboratory results reveal that the initial troponin I level is elevated in this patient. What conclusion should the nurse draw from this fact?
A) This is only an accurate indicator of myocardial damage when it reaches its peak in 24 hours. B) Because the entry diagnosis is unstable angina, this is a poor indicator of myocardial injury. C) This is an accurate indicator of myocardial injury. D) It is only an accurate indicator of skeletal muscle injury.
A nurse is assessing a pregnant client with twin gestation and notes that the sonogram shows monoamniotic twin pregnancy. Which of the following sonographic features is associated with monoamniotic twin pregnancy?
A) Division of amniotic membranes B) Fetuses of the same sex C) Restricted fetal movement D) Presence of double placentas
Bernice is prescribed niacin for the treatment of hyperlipidemia. On administration of the drug, Bernice feels flushed and experiences a sensation of warmth on her face. She also feels a tingling sensation and has a mild headache. Which of the following measures can be adopted by Bernice to prevent this adverse reaction from recurring?
A. Fasting for four hours before taking niacin B. Taking niacin with a hot liquid C. Drinking a hot liquid after dosing D. Taking aspirin 30 minutes before niacin dosing
The nurse is reviewing the anatomy and physiology of the cardiac system with a patient scheduled for pacemaker insertion. Which chamber of the heart should the nurse instruct has the greatest workload and usually fails first as a result?
a. Left atrium b. Right atrium c. Left ventricle d. Right ventricle