The major hemodynamic consequence of a massive pulmonary embolus is
a. increased systemic vascular resistance leading to left heart failure.
b. pulmonary hypertension leading to right heart failure.
c. portal vein blockage leading to ascites.
d. embolism to the internal carotids leading to a stroke.
B
The major hemodynamic consequence of a pulmonary embolus is the development of pulmonary hypertension, which is part of the effect of a mechanical obstruction when more than 50% of the vascular bed is occluded. In addition, the mediators released at the injury site and the development of hypoxia cause pulmonary vasoconstriction, which further exacerbates pulmonary hypertension.
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Accurate documentation by the nurse is necessary since proper documentation:
a. is needed for proper reimbursement. b. must be electronically generated. c. does not involve e-mails or faxes. d. is only legal if written by hand.
The nurse finds a client on the previous shift received 100 mg of Demerol intravenously instead of the ordered 50 mg of Demerol. Which statement should be documented in the client?s chart?
1. Demerol 100 mg given IV at 0800. Client?s vital signs unchanged. 2. Demerol 100 mg given IV instead of the ordered dose of Demerol 50 mg. 3. Demerol 100 mg given accidentally instead of Demerol 50 mg. 4. Demerol 100 mg given IV and client notified.
What is the earliest recognizable clinical manifestation(s) of cystic fibrosis (CF)?
a. Meconium ileus b. History of poor intestinal absorption c. Foul-smelling, frothy, greasy stools d. Recurrent pneumonia and lung infections
A client who is on a waiting list for a liver transplant has been notified to report to the hospital within 2 hours. The type of facility equipped to perform a liver transplant would be considered:
1. preventive. 2. primary. 3. tertiary. 4. restorative.