You are palpating the apical impulse in a patient with heart disease and find that the amplitude is diffuse and increased. Which of the following conditions could be a potential cause of an increase in the amplitude of the impulse?
A) Hypothyroidism
B) Aortic stenosis, with pressure overload of the left ventricle
C) Mitral stenosis, with volume overload of the left atrium
D) Cardiomyopathy
B) Aortic stenosis, with pressure overload of the left ventricle
Pressure overload of the left ventricle, such as occurs in aortic stenosis, may result in an increase in amplitude of the apical impulse. The other conditions should decrease amplitude of the apical impulse or not be palpable at all.
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The nurse notes excessive swelling of the ankles and legs in a patient with a history of congestive heart failure. What would be a recommended change to this patient's care plan?
A) Reduce oxygen B) Reduce ambulation C) Encourage deep breathing D) Implement dietary changes
The nurse is presenting a workshop on wellness and health promotion and the initiatives of Healthy People 2020 as a resource for this topic
After the session, which of the following statements by a participant indicates an understanding concerning the initiatives proposed? 1. "It will allow health care providers to lobby legislators for more funding." 2. "The primary goal of Healthy People 2020 is to assist health care providers in determining risk factors for premature birth." 3. "Healthy People 2020 seeks to promotes health, prevent illness, disability, and premature death." 4. "The initiatives will outline standards of care for providers in managing diseases."
When assessing an infant's axillary temperature, it will be
A) One degree lower than an oral temperature B) One degree higher than a rectal temperature C) One degree higher than an oral temperature D) The same as the tympanic temperature
A nurse is planning a teaching session for parents of a newborn who plan to bottle-feed. Which should the nurse include in the teaching session? (Select all that apply.)
a. Limiting the feeding to 15 minutes b. Propping the bottle for night feedings is acceptable c. Proper technique for cleansing the bottles and nipples d. Feeding infant on alternate sides of the lap e. Use of bottled water without fluoride should be avoided to mix powdered formula.