A patient is being treated for hypertrophic cardiomyopathy. During discharge teaching, what is the most important information to include?

A) Cessation of alcohol abuse will improve cardiac function.
B) Only a heart transplant is associated with increased longevity.
C) Make an appointment for genetic screening and counseling.
D) Information about anti-infective medications


C

Nursing

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A patient asks the nurse why the incidence of chronic disease increases with age. The nurse explains that:

A) Biologic changes reduce the efficiency of body systems. B) The older adult has less support and care from family members and this results in illness. C) There is an increased morbidity of friends in this age group, which leads to the older adult's desire to also assume the "sick role." D) Normal aging increases the circulation of the heart.

Nursing

A patient's bedside ECG strips show the following changes

increased PR interval; increased QRS width; and tall, peaked T waves. Vital signs are T 98.2Â ° F; HR 118 beats/min; BP 146/90 mm Hg; and RR 18 breaths/min. The patient is receiving the following medications: digoxin 0.125 mg PO every day; D51/2 normal saline with 40 mEq potassium chloride at 125 mL/hr; Cardizem at 30 mg PO q8h; and aldosterone at 300 mg PO q12h. The physician is notified of the ECG changes. What orders should the nurse expect to receive? a. Change IV fluid to D51/2 normal saline and draw blood chemistry. b. Give normal saline with 40 mEq of potassium chloride over a 6-hour period. c. Hold digoxin and draw serum digoxin level. d. Hold Cardizem and give 500 mL normal saline fluid challenge over a 2-hour period.

Nursing

A nurse is preparing to screen a client's vision with the use of a Snellen chart. Which action should the nurse take?

A. Tests the right eye, then tests the left eye, and finally tests both eyes together B. Assesses both eyes together, then assesses the right and left eyes separately C. Asks the client to stand 40 feet from the chart and read the largest line on the chart D. Asks the client to stand 40 feet from the chart and read the line that can be read 200 feet away by someone with unimpaired vision

Nursing

The nurse is interacting with a patient. During which stage does the nurse make an introduction and identify the purpose of the interaction?

1. Orienting 2. Evaluating 3. Identifying 4. Implementing

Nursing