A client asks the nurse how hypertension can lead to heart failure. Which response should the nurse provide the client?
A. "Hypertension increases the resistance in the blood vessels causing the heart to work harder to pump the blood out against the resistance of the arteries."
B. "Hypertension limits the ability of the heart to stretch before emptying resulting in the heart working harder to pump the blood out into the arterial system."
C. "Hypertension causes resistance in the venous system requiring the heart to work harder to pump the blood forward."
D. "Hypertension limits the amount of blood entering the left ventricle increasing the workload of the heart to pump an adequate amount of blood into the circulatory system."
Answer: A
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A child returns from exploratory abdominal surgery following a gunshot wound to the abdomen. Which nursing intervention would the nurse omit from the plan of care for this child?
1. NPO status until bowel sounds return 2. Frequent assessment of the surgical site 3. Avoiding narcotics to prevent depression of the respiratory system 4. Allow parents at the bedside as soon as possible.
A 4-year-old child's respiratory rate is 30 per minute. The mother states, "That seems like a really high number. My healthcare provider told me my respiratory rate is only 16 per minute."
Which of the following is the nurse's best response? 1. "This is a normal finding for your child's age.". 2. "Your child is exhibiting a sign of a respiratory infection.". 3. "Your child requires further assessment.". 4. "Your child may simply be anxious.".
When giving medications, the nurse will use Standard Precautions, which include what action?
a. Bending the needle to prevent reuse b. Recapping needles to prevent needle sticks c. Discarding all syringes and needles in the trash can d. Discarding all syringes and needles in a puncture-resistant container
A patient says, "I felt good from drinking a six-pack a few months ago. Now I need a few extra cans to get the same high." The nurse assesses this phenomenon as related to
a. tolerance. b. withdrawal. c. co-dependency. d. abstinence syndrome.