The nurse is collecting data for a patient who is experiencing a myocardial infarction (MI). Which of the following findings would be expected?

a. Flushed face
b. Extreme thirst
c. A moist cough
d. Profuse diaphoresis


ANS: D
Symptoms during an MI may include chest pain, shortness of breath, fatigue, weakness, or dizziness caused by decreased blood supply and oxygen to the heart. Other symptoms may include diaphoresis or nausea.

Nursing

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The nurse is performing a physical assessment for the client and identifies a venous hum while auscultating the client's abdomen. Which statement by the nurse is the most consistent with this type of vascular sound?

1. "The sound is a blowing, pulsing sound." 2. "The sound is soft and constant. The pitch of the sound is low." 3. "It is grating, rough sound." 4. "It is tinkling and has a high pitch. The sound is sort of gurgling and irregular."

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A newborn is admitted to the newborn nursery with hypothermia. Which complication should the nurse monitor related to hypothermia in the newborn?

a. Hyperglycemia b. Metabolic acidosis c. Respiratory acidosis d. Vasodilation of peripheral blood vessels

Nursing

A nurse is preparing to administer 10 units of Regular insulin and 5 units of Lente insulin. Place in order the steps the nurse should follow to administer the total dosage of 15 units of insulin

Place the initial step first and end with the final step. Use the following format for your Answer: A, B, C, D a. Inject 5 units of air into the Lente insulin vial. b. Draw up the 5 units of Lente insulin. c. Inject 10 units of air into the Regular insulin vial. d. Cleanse the insulin vials with alcohol wipes. e. Draw up the 10 units of Regular insulin.

Nursing

Why should one avoid applying local anesthetic agents to damaged, open, or broken skin?

A. The patient may develop overdose effects. B. The patient may develop hypotension. C. The broken skin allows the anesthetic agent to reach the blood vessels. D. All of the above are true

Nursing