After teaching a class about the hemodynamic characteristics of congenital heart disease, the instructor determines that the teaching has been successful when the class identifies which defect as an example of a disorder involving increased pulmonary
blood flow? A) Tetralogy of Fallot
B) Atrial septal defect
C) Hypoplastic left heart syndrome
D) Transposition of the great vessels
B
Response:
Atrial septal defect is an example of a disorder involving increased pulmonary blood flow. Tetralogy of Fallot is a defect involving decreased pulmonary blood flow. Transposition of the great vessels and hypoplastic left heart syndrome are examples of mixed disorders.
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The nurse is performing hourly assessments on a client in the compensation stage of shock. In documenting the hourly urine output of 40 mL from the Foley catheter, which nursing action is most appropriate?
A) Reposition the client and make sure there are no kinks in the catheter tubing. B) Notify the physician of the hourly output and encourage physician assessment. C) Record 40 mL as the hourly output. D) Notify the family of the urine output.
A new mother asks, "Why should I bring my baby in for a checkup? He isn't sick." Which is the nurse's best response?
a. "Please ask your pediatrician to explain this to you." b. "He may have a problem that you haven't identified." c. "These visits are required by law to identify communicable diseases." d. "Well-baby visits allow the doctor to determine whether your baby is growing and developing normally."
The nurse educator facilitates student clinical experiences in the surgical suite. Which action, if performed by a student, would require the nurse educator to intervene?
a. The student wears a mask at the sink area. b. The student wears street clothes in the unrestricted area. c. The student wears surgical scrubs in the semirestricted area. d. The student covers head and facial hair in the semirestricted area.
MC A client's weight has increased by 5 pounds since yesterday. All of the following interventions should be implemented except
A. Check I&O record. B. Check if the scale is balanced correctly. C. Check the clothing the client wore on both days. D. Use a different scale to check the weight.