A client with mitral stenosis presents to the clinic for a follow-up visit. What clinical manifestation alerts the nurse to the possibility that the client may be experiencing a worsen-ing of this condition?

A. The client's oxygen saturation is 92%.
B. The client has dyspnea on exertion.
C. The client has a systolic crescendo-decrescendo murmur.
D. The client experiences a loss of strength in the upper extremities.


B
The development of dyspnea on exertion occurs as the mitral valvular orifice narrows and pres-sure in the lungs increases.

Nursing

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The nurse evaluates whether the outcome of "Patient will independently participate in grief work activities" has been met. Which patient activity witnessed by the nurse shows that it has?

a. Reading the Bible b. Planning a Caribbean cruise c. Talking to the priest about his funeral service d. Looking through an old photo album

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The nurse says, "I don't want to take care of these patients anymore. I spend my whole day getting patients up to the bathroom or to the bedside chair. My back hurts so badly by the end of my shift

" How should the nurse manager interpret this statement? 1. This nurse is likely burned out and needs a few days off work. 2. The nurse should be transferred to a different unit. 3. Additional assessment of the meaning of this statement is necessary. 4. The nurse should be educated about use of lift equipment.

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A client, diagnosed with benign prostatic hyperplasia (BPH), should be instructed to do which of the following?

1. "Do nothing since this disorder does not require any follow-up." 2. "Decrease water intake to avoid dribbling." 3. "Void every 2 to 3 hours." 4. "Wear scrotal support."

Nursing

A client approaching older adulthood talks to a nurse regarding his overdependence on other people. The client also expresses his wish to achieve more independence during old age

Which key element can help the client attain more independence in older adulthood? A) Financial stability B) Reviewing life C) Reminiscence D) Focus on adjustments

Nursing