The nurse is caring for a patient recovering from fibrinolytic therapy. For which common complication should the nurse focus care for this patient?
A. Lethargy
B. Heart block
C. Bleeding
D. Hypotension
Answer: C
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Which of the following nursing techniques are appropriate for therapeutic interaction with a client who has been diagnosed with Alzheimer's disease?
1. Setting strict time limits and rephrasing misunderstood questions 2. Encouraging verbal and nonverbal communication, while maintaining a calm demeanor 3. Correcting errors by the client and speaking in a loud clear voice 4. Using multiple memory cues and giving several directions at once
A client had cardiothoracic surgery and informed the nurse that he has a 6-month-old grandchild. The client states, "I can't wait to hold my grandchild!" What is the best response by the nurse?
A) "I bet your grandchild is wonderful, and I know you are glad you made it through the surgery." B) "I am sure you are excited to see your grandchild but you must refrain from lifting, pushing, or pulling anything over 10 lb for at least 6 to 12 weeks." C) "You will not be able to lift that grandchild for at least 6 months, but you can sit with him and play." D) "You have done so well after your surgery, and there are no restrictions for your activities."
The home health nurse is caring for a patient with congestive heart failure (CHF). Which assessment finding should the nurse report immediately to the physician?
a. Moderate shortness of breath after walk-ing down the hall b. A 3 pound weight gain over the course of a week c. Heart rate of 104 beats/min after ambu-lating to the bathroom d. Increase in urinary output to 50 mL in the last hour
The nurse emphasizes that the objective of pain control for the dying patient is to:
a. keep the patient unconscious and relaxed to avoid the perception of pain. b. delay medication until the patient reports that the pain is intense. c. find a control level that reduces pain, but allows the patient to interact. d. eradicate pain completely.