A nurse is monitoring a client with angina for therapeutic effects of nitroglycerin. Which assessment finding indicates that the nitroglycerin has been effective?
a. Blood pressure 120/80 mm Hg
b. Heart rate 70 beats per minute
c. ECG without evidence of ST changes
d. Client stating that pain is 0 out of 10
Answer: d. Client stating that pain is 0 out of 10
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The nurse is preparing to perform a cardiac assessment on a client. Rank the following pieces of the assessment in order of occurrence. Standard Text: Click and drag the options below to move them up or down
1. Auscultation of the client's heart, apical pulse, and carotid arteries 2. Inspection of the client's head and neck, chest, abdomen, and extremities 3. Percussion of the client's chest 4. Palpation of the precordium and pulses
The nurse should expect to assess which findings in a patient with a right anterior cerebral artery stroke?
A) Diplopia, dysarthria, and nystagmus B) Right cerebellar ataxia and Horner syndrome C) Aphasia and neglect D) Paresis and sensory loss of the left leg and foot
What effects does normal aging have on the wound healing process?
a. Decreased cell proliferation b. Decreased blood supply c. Depressed immune responses d. Depressed appetite e. Decreased cognitive function
A client is receiving a continuous tube feeding. A medication is to be delivered enterally. The following intervention is appropriate for most medications:
a. Administer medication through the Y-connection while the tube feeding continues to infuse. b. Flush the feeding tube with 15-30 milliliters of warm water before and after each drug administration. c. Crush tablets, including enteric-coated, and dissolve with small amount of water. d. Tablets are preferred because liquid forms of most drugs are hypertonic.