While transferring a patient who has been bedridden for several weeks, the nurse notes that the patient becomes fatigued rapidly. What assessment data does the nurse expect to find to validate the patient's changing status?
a. Increased pulse and increased respirations
b. Decreased pulse and increased respirations
c. Increased pulse and decreased respirations
d. Decreased pulse and decreased respira-tions
A
The patient's body is responding to the increased workload on the heart and lungs and is mani-fested by elevations in both the pulse and respirations.
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Which of these questions, if asked by a nurse, would BEST help to identify a client's coping mechanisms?
a. "What are your stressors?" b. "How have you handled stress in the past?" c. "Do you often have anxiety attacks?" d. "Tell me how your family handles stress."
The nurse is noticing an increasing afterload in a patient in the ICU. How does the increasing afterload affect cardiac output?
1. If afterload is high, cardiac output will be deceased due to high systemic vascular resistance. 2. If afterload is high, cardiac output will be increased due to the increased volume in the heart. 3. If afterload is high, cardiac output will be deceased due to decreased contractility. 4. If afterload is high, cardiac output will be increased because the heart rate increases during afterload.
A client who was admitted with gastrointestinal bleeding secondary to aspirin use therapy is being discharged. The client asks why acetaminophen (Tylenol) doesn't work as well as the aspirin the client had been taking
What would be the nurse's best response? 1. "You should take double the prescribed dose of Tylenol." 2. "Tylenol does not reduce inflammation." 3. "Tylenol is only appropriate for severe pain." 4. "Tylenol and aspirin are the same drug."