The nurse is assessing a patient who was admitted to the critical care unit 3 hours ago following cardiac surgery
The nurse's most recent assessment reveals that the patient's left pedal pulses are not palpable and that the right pedal pulses are rated at +2. What is the nurse's best response?
A) Document this expected assessment finding during the initial postoperative period.
B) Reposition the patient with his left leg in a dependent position.
C) Inform the patient's physician of this assessment finding.
D) Administer an ordered dose of subcutaneous heparin.
Ans: C
Feedback:
If a pulse is absent in any extremity, the cause may be prior catheterization of that extremity, chronic peripheral vascular disease, or a thromboembolic obstruction. The nurse immediately reports newly identified absence of any pulse.
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Cardiogenic shock occurs
A) when the ejection fraction is less than 35%. B) when more than 40% of the left ventricle is damaged. C) only in congestive heart failure. D) only if a patient has an anterior myocardial infarction.
The nurse is working with clients with digestive tract disorders. Which of the following organs does the nurse realize has effects as an exocrine gland and an endocrine gland?
A) Gallbladder B) Pancreas C) Stomach D) Liver
The parents of a child with type 1 diabetes mellitus ask how to prevent episodes of hypoglycemia. Which recommendation should the nurse make to these parents?
a. Provide three large meals daily but avoid snacks b. Provide snacks during the day and prior to exercise c. Avoid extra calories and closely maintain the prescribed diet plan d. Send candy bars to school with the student in case hypoglycemia symptoms occur
Over time, popular acceptance of ____________________ rights can give them force of ____________________ rights
Fill in the blank(s) with correct word