The nurse of a patient who is diagnosed as having damage to the layer of the heart responsible for the pumping action is aware the damage is in the:
A) Endocardium
B) Pericardium
C) Myocardium
D) Visceral pericardium
Ans: C
Feedback: The layer of the heart responsible for the pumping action of the heart is the myocardium.
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A patient with borderline personality disorder has cut her wrists. The physician orders daily dressing changes for the lacerations. The nurse performing this care should:
a. encourage the patient to vent anger and aggression. b. provide care in a matter-of-fact manner. c. be kindly, sympathetic, and concerned. d. offer to listen to the patient's feelings about cutting.
After teaching a group of nursing students about nonprescription drugs, the nursing instructor determines that the teaching was successful when the students identify which of the following? Select all that apply
A) They require a licensed health care provider's signature. B) They are referred to as over-the-counter drugs. C) They can be taken without risk to the client. D) They have certain labeling requirements. E) They should be taken only as directed on the label.
The clinical nurse specialist meets with a client receiving lithium. The nurse tells the client that her
lithium level is 0.6 mEq/L, a finding in the desirable range. The nurse reinforces the importance of continuing to take the lithium as directed and the need to drink adequate amounts of fluids. This action is part of the advanced practice intervention of a. psychotherapy. b. consultation. c. prescriptive authority. d. complementary interventions.
While inserting a rectal thermometer, the nurse encounters resistance. What action should the nurse take?
a. Remove the thermometer immediately. b. Ask the patient to take a few deep breaths. c. Apply mild pressure to advance the ther-mometer. d. Remove the thermometer and reinsert gently.