The emergency department nurse assesses a client who has a diagnosis of left-sided heart failure. Which findings does the nurse expect to note?
A. Dyspnea
B. Dependent edema
C. Neck vein distention
D. Abdominal distention
E. Crackles on auscultation of the lungs
Ans: A. Dyspnea
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A client has recently undergone an anterior colporrhaphy. Which is the most important discharge instruction that the nurse can provide?
a. "Avoid sexual intercourse for 2 weeks." b. "Call us for fever and pain that does not improve." c. "Sutures will need to be removed in 2 weeks." d. "An ice pack on your incision will help the pain."
For which patient should question the order for trimethobenzamide (Tigan)?
a. 70-year-old who has prostate cancer b. 50-year-old who has hypertension c. 40-year-old with a seizure disorder d. 30-year-old with asthma
A 72-year-old patient who has a history of a transient ischemic attack (TIA) has an order for aspirin 160 mg daily. When the nurse is administering medications, the patient says, "I don't need the aspirin today. I don't have a fever."
Which action should the nurse take? a. Document that the aspirin was refused by the patient. b. Tell the patient that the aspirin is used to prevent a fever. c. Explain that the aspirin is ordered to decrease stroke risk. d. Call the health care provider to clarify the medication order.
In a nursing class, the instructor is discussing the differences between acellular vaccines and toxoids. The students are able to identify acellular vaccines because:
1. The vaccines produce a toxin to get an immune response. 2. The vaccine has a whole viral protein cell, unlike the toxoids. 3. The vaccine has fragments of cells to stimulate an immune response. 4. The vaccine is inactive and produced by whole cell bacteria.