The nurse is caring for a client with cardiac compromise related to mitral valve impairment. Which outcome of the eroding of the mitral valve is most significant?
A) Presence of a heart murmur
B) Heart failure
C) Activity intolerance
D) Pulmonary congestion
B
Feedback:
The most significant outcome of the eroding of the mitral valve is heart failure. Blood leaking between the heart chambers diminishes the hearts ability to circulate blood efficiently. Eventually, the heart cannot keep up with the body's metabolic need, and heart failure occurs.
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Which statement made by a male patient with an SCI could be assessed as a positive adaptation to the nursing diagnosis of "Sexual dysfunction, related to altered body function"?
a. "I know I will never have a sexual rela-tionship again." b. "I need some suggestions as to how to di-rect my sexual energy into gardening or painting . . . or just anything." c. "Can you arrange an appointment with a sex counselor so I can begin to examine alternative methods of sexual activity?" d. "I think that after a while I will be able to have sexual relationships just like I had before my accident."
A laboring woman with no known risk factors suddenly experiences spontaneous rupture of membranes (ROM). The fluid consists of bright red blood. Her contractions are consistent with her current stage of labor
There is no change in uterine resting tone. The fetal heart rate begins to decline rapidly after the ROM. The nurse should suspect the possibility of: a. Placenta previa. b. Vasa previa. c. Severe abruptio placentae. d. Disseminated intravascular coagulation (DIC).
Knowledge transfer can be defined as:
a. The use of intentional activities to share research findings strategically with stakeholders. b. The review and critique of scientific research and then the application of the findings to clinical practice. c. One-way flow of knowledge from researcher to potential user. d. A dynamic and iterative process that includes the synthesis, dissemination, exchange and ethically sound application of knowledge.
A patient who is taking digoxin (Lanoxin) is diagnosed with myocarditis. For which effect should the nurse monitor the patient?
a. Increased inflammation b. Decreased inflammation c. Increased risk of toxicity d. Decreased risk of toxicity