The nurse is caring for a client with a valvular disorder. The client is at risk for decreased cardiac output. What nursing intervention should a nurse perform for this client?

A) Perform exercises consistently.
B) Keep legs horizontal.
C) Auscultate lung and heart sounds.
D) Measure urine output.


D
Feedback:
The nurse should monitor urine output every 8 hours or more often if it is less than 500 mL/day. Renal output reflects the heart's ability to perfuse the renal arteries. The client should not perform any exercises and should be on bed rest. Keeping the client's legs horizontal and auscultating lung and heart sounds will not help in this condition.

Nursing

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The nurse is caring for a nine-month-old who just returned from the PACU after a shunt placement for hydrocephalus. Which of the physician's orders would the nurse question?

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A child is being weaned from the ventilator. He is awake and alert but getting increasingly tired. Which action by the nurse is the most appropriate?

A. Cluster nursing care so the child is able to get uninterrupted periods of rest. B. Collaborate with other health team members to slow or stop the weaning process. C. Draw a blood sample for blood gas analysis, and compare the results to the last blood gas values. D. Have all of the child's visitors leave to allow the child to take a short nap.

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In 1993, a center at the National Institutes of Health was established with a nursing perspective. What is the name of that center?

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A child has a disorder that resulted in the failure of bones to ossify, resulting in soft bones and skeletal deformity. What treatment plan does the healthcare professional discuss with the parents?

a. Extremely careful handling b. Increasing vitamin D intake c. Revascularization d. Containment and motion therapy

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