The patient has been in the hospital for several days for urosepsis. He has been responding favorably to treatment, and his vital signs have been "normal" for 2 days
When the nurse takes his vital signs, however, the patient's apical pulse is 152 and regular. The nurse suspects that the:
a. patient is having a reaction to his narcotic medication.
b. patient may be suffering from hypothermia.
c. patient's fever may have returned.
d. patient may be an athlete.
C
Fever or exposure to warm environments increases heart rate. Large doses of narcotic analgesics and hypothermia can slow heart rate. A well-conditioned patient may have a slower than usual resting heart rate, which returns more quickly to resting rate after exercise.
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During the admission assessment, the nurse notes many café-au-lait spots on the patient's trunk, back, neck, and legs and suspects the patient has neurofibromatosis
The patient's chart confirms that the patient does have neurofibromatosis type 1. Based on the nurse's knowledge of neurofibromatosis, the nurse understands that a single family member has what? A) A spontaneous mutation B) A germline mutation C) A nondisjunction D) A monosomy
Which assessment finding indicates that an infusion of intravenous epinephrine 4 mcg/min is effective in the treatment of a patient with anaphylactic shock?
1. Reduced wheezing 2. Heart rate 55 and regular 3. Blood pressure 98/50 mm Hg 4. Respiratory rate 28
A community health nurse is caring for a variety of different people in the community. Which of the following individuals would the nurse recognize as being at risk to experience increased stress related to family dynamics?
a. A 54-year-old couple whose young adult daughter and grandson move back into their home b. A 44-year-old single mother raising three adolescent children without child support c. A 60-year-old couple whose children have established successful careers in another state d. A 36-year-old couple whose child plays competitive tennis
Cyclic variations in the occurrence of pneumonia and influenza mortality may reflect