Following several months of increasing dyspnea on exertion, a 71-year-old woman has been diagnosed with mitral stenosis (MS)
The woman is relieved to receive a diagnosis that explains her symptoms but does not completely understand the root of her problem. How can the nurse best explain the woman's health problem?
A) "The valve in the left side of your heart has become stiff and narrowed, so your heart can't fill with all the blood that your body needs."
B) "The left side of your heart is having trouble overcoming the resistance in your blood vessels because a valve is not sealing."
C) "When your heart beats, some of the blood that should go to your body is backing up into your heart because the valve leaks."
D) "The valve between your lungs and your heart has become inelastic, so your heart can't fill up with enough blood."
A
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After teaching a client who is recovering from a complete thyroidectomy, the nurse assesses the client's understanding. Which statement made by the client indicates a need for additional instruction?
a. "I may need calcium replacement after surgery." b. "After surgery, I won't need to take thyroid medication." c. "I'll need to take thyroid hormones for the rest of my life." d. "I can receive pain medication if I feel that I need it."
A nurse working on a pediatric unit teaches a student nurse that children may require intravenous fluids to be administered through one of several different venous access devices
The nurse tells the student that which of the following current patients are candidates for central venous access devices? (Select all that apply.) A. Receiving blood product replacement after surgery B. Receiving fluid maintenance prior to diagnostic testing C. Requires long-term intravenous access for hydration D. Will need regularly scheduled chemotherapy E. With medication administration scheduled preoperatively
A patient visits the clinic and is diagnosed with acute sinusitis. To promote sinus drainage, the nurse instructs the patient to:
A) Apply a cold pack to the affected area. B) Apply a mustard poultice to the forehead. C) Perform postural drainage. D) Increase fluid intake.
A patient comes to the ED with complaints of back pain. After interviewing this patient, you see that he is a little cyanotic and has problems following the conversation. You would conclude which of the following:
1. The patient is sleepy after being up all night. 2. The patient is bored with this whole process. 3. The patient has signs of being overdosed. 4. The patient is on asthma medication.