On auscultating the patient's heart, the nurse hears a third heart sound. What condition would this finding be most indicative of?
A) Renal artery stenosis
B) A faulty stethoscope
C) Hypotension
D) Fluid overload
D
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A patient is scheduled for an exercise electrocardiogram. The nurse will ensure that which objects are in the room prior to the beginning of the test?
1. Oral fluids 2. A defibrillator 3. External pacemaker 4. Portable chest x-ray machine
The client that delivered twelve hours ago desires early discharge. The client is breastfeeding successfully. Which patient education point should the nurse include that is not given to clients who go home at 48 hours?
A. "Your baby requires newborn screening blood work. The doctor's office will collect the blood sample." B. "Your baby will eat more than you expect, and feedings should be spaced out to prevent the baby getting gas." C. "If your bleeding becomes heavier and brighter red, put your feet up and rest for a while." D. "Your going home early means that an appointment with the lactation consultant is not possible."
The nurse is teaching a class for clients who recently have been diagnosed with epilepsy. The nurse determines that learning has occurred when the clients make which statements?
Standard Text: Select all that apply. 1. "Epilepsy can be caused by a head injury." 2. "With some cases of epilepsy, the cause is never determined." 3. "Excessive stress levels cause disruptions in how the brain receives oxygen, leading to epilepsy." 4. "Eating disorders like anorexia nervosa increase the risk for developing epilepsy." 5. "A stroke, or brain attack, could increase the risk for developing epilepsy."
Lina is an 18-year-old woman at 20 weeks' gestation. This is her first pregnancy. Lina is complaining of fatigue and listlessness
Her vital signs are within a normal range: BP = 118/60, pulse = 70, and respiratory rate 16 breaths per minute. Lina's fundal height is at the umbilicus, and she states that she is beginning to feel fetal movements. Her weight gain is 25 pounds over the prepregnant weight (110 lb), and her height is 5 feet 4 inches. The perinatal nurse's best approach to care at this visit is to: a. Ask Lina to keep a 3-day food diary to bring in to her next visit in 1 week. b. Explain to Lina that weight gain is not a concern in pregnancy, and she should not worry. c. Teach Lina about the expected normal weight gain during pregnancy (approximately 20 pounds by 20 weeks' gestation). d. Explain to Lina the possible concerns related to excessive weight gain in pregnancy, including the risk of gestational diabetes.