A nurse notes 2+ bilateral edema in the lower extremities of a client with myocardial infarction who was admitted 2 days ago. The nurse would plan to do which of the following next?
a. Review the intake and output records for the last 2 days.
b. Change the time of diuretic administration from morning to evening.
c. Request a sodium restriction of 1 g/day from the physician.
d. Order daily weights starting the following morning.
Answer: a. Review the intake and output records for the last 2 days.
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A nurse is being terminated due to continued violation of hospital policy. What statements by the manager are appropriate? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Standard Text: Select all that apply. 1. "Your actions have been degrading to the profession." 2. "You may wish to resign rather than being terminated." 3. "Human resources will answer any questions you may have about benefits." 4. "I'm sorry you could not be happy here." 5. "You are being terminated for the policy violations I have just outlined."
A 70-year-old woman with ongoing severe atrial fibrillation is scheduled for defibrillation. What is an aspect of the rationale and physiology of defibrillation treatment?
A) Interruption of disorganized impulses by the current allows the AV node to readopt its normal pacemaker role. B) Defibrillation can be achieved using either a transcutaneous or transvenous pacemaker. C) Defibrillation must be coincided with the R wave of the ECG in order to be successful. D) The goal is to depolarize the entire heart during the passage of current.
In assessing a client's wound, which finding assists the nurse in determining that the wound is infected? (Select all that apply.)
a. It is open. b. It has granulation tissue. c. It is inflamed. d. It has an odor. e. It has heavy exudates. f. It contains necrotic tissue.
The nurse is caring for a patient recovering from fibrinolytic therapy. For which common complication should the nurse focus care for this patient?
1. bleeding 2. hypotension 3. lethargy 4. heart block