A patient has received a heart transplant for dilated cardiomyopathy. Because the patient has a high risk for cardiac tamponade, of which sign/symptoms does the nurse immediately notify the provider?

a. Crackles and wheezes of the lungs
b. Pulsus paradoxus and muffled heart sounds
c. Hepatomegaly and ascites
d. Dependent edema and fluid retention


Answer: a. Crackles and wheezes of the lungs

Nursing

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A nurse has been following a male patient who is taking hydralazine, clonidine, and a diuretic for hypertension. After 2 weeks of medication therapy, the patient begins to complain of numbness and tingling in his hands and feet

The nurse suspects that these signs or symptoms are A) a result of new onset diabetes. B) an adverse effect of the diuretic. C) signs of peripheral neuritis. D) an idiosyncratic reaction to clonidine.

Nursing

A pregnant client is diagnosed with HELLP syndrome. Based on this diagnosis, which clinical manifestation does the nurse anticipate?

A) Decreased liver enzymes B) Hemolysis C) Elevated lipid panel D) Increased platelet count

Nursing

A community mental health nurse has the task of planning an educational program for staff of a

home health agency specializing in care of the elderly. A topic of high priority should be a. identifying clinical depression in older adults. b. providing cost-effective foot care for the elderly. c. identifying dietary deficiencies in the elderly. d. psychosocial stimulation for those who live alone.

Nursing

The day shift nurse asks an LPN/LVN to complete a component of care for a client. The day shift nurse is engaging in what function?

a. Delegating b. Assigning c. Sharing d. Authorizing

Nursing