A client who was diagnosed with heart failure has developed cardiogenic shock as a complication of the condition and needs an intra-aortic balloon pump placed. Which of the following statements accurately describes an intra-aortic balloon?

a. The IABP increases systemic vascular resistance to strengthen the heart's ventricles
b. The balloon is regularly inflated and deflated to support the pumping action of the heart
c. The catheter is typically inserted in the subclavian artery and inflated in the abdominal aortic artery
d. The balloon inflates during systole to increase pressure in the aorta


b. The balloon is regularly inflated and deflated to support the pumping action of the heart
rationale: An intra-aortic balloon pump (IABP) may be used for some clients in cardiogenic shock or in other situations where cardiac complications have developed. The IABP is designed to support the circulatory system when it is inserted into a vessel through the femoral artery and the balloon is positioned in the aorta. The balloon regularly inflates and deflates to support the work of the heart, which can increase ejection fraction, cardiac output and coronary perfusion.

Nursing

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A client tells a nurse, "My discharge plan is too complicated! I'll never remember everything I'm supposed to do." To facilitate the client's learning, the nurse concludes the focus needs to be placed on:

a. maturation c. readiness to learn b. organization d. participation

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Which statement best indicates that the patient understands the differences in the follicular and luteal phases of the ovarian cycle?

1. "My period will be every 28 days." 2. "The first part of my period might vary in length, but not the second." 3. "The follicular phase is the second half of my cycle." 4. "The follicular phase is when the egg is fertilized."

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When feeding a dysphagia patient, do all of the following EXCEPT:

A) offer dry foods, such as bread or crackers first B) encourage the patient to swallow twice after each bite C) position the patient with the head of the bed up at least 90 degree angle. D) be patient and offer the patient verbal cues as they eat.

Nursing

Parents are expressing concerned about their preschooler's current sleep habits, which were disrupted by a recent hospitalization, stating that the child now awakens frequently at night. Which response by the nurse best addresses this problem?

a. Regressive behavior after a hospitalization is normal and is usually short term. b. The child is probably expressing anger. c. Egocentric behavior often manifests itself when the child is left alone to sleep. d. The child is probably feeling pain and needs further evaluation.

Nursing