When the nurse reinforces education regarding the risks of bypass procedures for a client who has experienced an ischemic stroke, which of the following is included? Select all that apply
1. Hemorrhage
2. Infection
3. Thrombotic stroke
4. Unstable blood pressure
5. Renal failure
1. Hemorrhage
2. Infection
3. Thrombotic stroke
4. Unstable blood pressure
Rationale: Hemorrhage. Bypass procedures carry significant risk to the patient, including hemorrhage of the vessel. Infection. All surgical procedures, including bypass procedures, carry risks of infection and alteration in wound healing. Thrombotic stroke. Bypass procedures carry significant risk to the patient, such as stroke due to clot in the graft or stroke due to a variety of other factors. Unstable blood pressure. Bypass procedures carry significant risk to the patient, such as blood pressure instability. Renal failure. Renal failure is not considered a classic risk for these procedures.
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What does maintaining eye contact for 2 to 6 seconds during communication with a patient do?
a. Keeps the nurse's attention on the conversation b. Counteracts shyness in the patient c. Indicates continuous focused attention d. Assesses if the patient is involved in the conversation
The nurse is auscultating cardiac tones. Where should the nurse listen to best hear a cardiac murmur related to aortic regurgitation?
a. Location A b. Location B c. Location C d. Location D
The nurse is preparing to give a 7-year-old child a bitter-tasting oral medication. The child asks the nurse if the medicine tastes bad. To help the child take this medication, which action will the nurse take?
a. Allow the child to delay taking the medication until the parent arrives. b. Enlist the assistance of other staff to help restrain the child. c. Tell the child that it doesn't taste bad if it is swallowed quickly. d. Tell the child that it tastes bad and offer a choice of beverages to drink afterwards.
The charge nurse is reviewing charting on patients in the maternal–child triage unit. Which entry requires immediate intervention?
1. Primip at 24 weeks diagnosed with polyhydramnios: "Patient reporting shortness of breath." 2. Multip at 32 weeks: "Oligohydramnios per ultrasound secondary to fetal renal agenesis." 3. Primip at 41 weeks: "Patient reports leaking clear fluid from her vagina for seven hours." 4. Multip at 34 weeks diagnosed with oligohydramnios: "Cervix 6 cm, ?2 station, up to walk in hallway."