A patient asks a nurse about the effects of chronic alcohol use on the heart. The nurse's best response would be which statement?
a. "Chronic alcohol use affects the liver more adversely than it does the heart."
b. "Drinking more than two drinks a day protects the heart from atherosclerosis."
c. "Long-term alcohol use can damage the heart and cause heart failure."
d. "Over time, alcohol use can lower your blood pressure."
C
Chronic abuse of alcohol results in direct damage to the myocardium, increasing the risk of heart failure. Chronic alcohol abuse has a significant effect on the heart and also affects the liver. Drinking fewer than two alcoholic beverages a day potentially protects the heart from atheros-clerosis. Alcohol consumption produces a dose-dependent elevation of blood pressure.
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The school nurse has identified several children who rarely spend time with either parent in the evening after school. What issues does the nurse realize as contributors to this trend? (Select all that apply.)
A) Both parents work B) Children preoccupied with school work C) Television is substituted for conversation D) Children participate in many after-school activities E) Meals are eaten at different times by family members
The physician ordered a loading dose of medication for the patient; it is to be followed by a lower dose. When the patient receives the lower dose, she says to the nurse, "I think my doctor made a mistake; my medication dose is too low."
What is the best response by the nurse? 1. "The initial dose shortened the half-life, so the medication would work more quickly." 2. "We always give medications this way; the doctor did not make a mistake." 3. "You had a larger dose initially so that the medication would work more quickly." 4. "Giving a larger dose initially will reduce the chance of side effects."
The nurse assesses the newborn's ears to be parallel to the outer and inner canthus of the eye. How should the nurse interpret this finding?
1. Prematurity 2. Facial paralysis 3. A normal position 4. A possible chromosomal abnormality
Which of the following would be a priority for the nurse when caring for a pregnant woman who has recently emigrated from another country?
a. Help her develop a realistic, detailed birth plan.b. Identify her support system.c. Teach her about expected emotional changes of pregnancy.d. Refer her to a doula for labor support.