The home care nurse sees a patient for the first time. The patient has crackles in the lower lobes of the lungs, an audible S3, and pitting edema in the feet and ankles. What condition is the patient most likely experiencing?
A) Pneumonia
B) Liver disease
C) Heart failure
D) Myocardial infarction
C
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The cardinal manifestations of heart failure are dyspnea and fatigue, which can lead to exercise intolerance and fluid retention. Fluid retention results in the development of pulmonary congestion and peripheral edema. An audible S3 is often present. The patient is not presenting with myocardial infarction symptoms.
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The nurse is caring for a patient receiving an oral fungicide to treat a systemic fungal infection. What intervention would the nurse include in the plan of care?
A) Maintain complete bed rest. B) Assess for cyanosis every 4 hours. C) Administer medication 1 hour before meals. D) Monitor nutritional status.
A nurse who works in a neonatal intensive care unit is caring for a critically ill infant with a poor prognosis. She is Christian and feels responsible to care for both the physical and spiritual needs of the infant and his parents
What is the best statement for the nurse to make to the parents of the infant? a. "You should have the child baptized so that its soul will be saved." b. "Would you like me to call the chaplain to christen your child at the bedside?" c. "What can I do to support your spiritual needs?" d. "I have asked my pastor to stop by and talk to you."
A client with a fever is ordered to receive sulfonamide therapy for an infection. The nurse needs to evaluate the client for which of the following during the course of therapy? Select all that apply
A) Response to drug therapy B) Elevated blood glucose levels C) Mental status changes D) Occurrence of adverse reactions E) Decrease in temperature
Which scenario represents a nurse working at Kohlberg's preconventional stage of moral development?
1. The nurse agrees to work overtime today if he or she can have a weekend shift off. 2. The nurse agrees to work overtime today to gain the approval of the new nursing supervisor. 3. The nurse agrees to work overtime today because the hospital administration has released a rule stating that each nurse must work one overtime shift per month. 4. The nurse agrees to work overtime today because the other nurse who was asked to work the overtime shift needs to attend his or her child's school play.