The nurse is monitoring a patient with pericarditis. What health problem is this patient at risk for developing?
a. Emboli begin to form.
b. Pericardial sac fluid increases.
c. Cardiac workload increases by 15%.
d. Cardiac output decreases more than 10%.
ANS: B
Cardiac tamponade is a life-threatening compression of the heart by fluid accumulated in the pericardial sac. A. C. D. Emboli formation and changes in cardiac workload or output are not typically associated with pericarditis.
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Jane Farmington, 72 years old, has been diagnosed with hypothyroidism and started on thyroid replacement therapy. What are the nursing considerations for an older adult who has been started on thyroid replacement therapy?
a. Schedule Mrs. Farmington for weekly blood glucose levels b. Schedule Mrs. Farmington for weekly blood glucose levels, and encourage her to do daily self-blood glucose monitoring c. Schedule Mrs. Farmington for a CBC and electrolyte level within 1 month, and teach her the signs and symptoms of infection d. Schedule Mrs. Farmington for a drug blood level done in 4 weeks, and teach her how to monitor her heart rate
A patient's sigmoidoscopy has been successfully completed and the patient is preparing to return home. Which of the following teaching points should the nurse include in the patient's discharge education?
A) The patient should drink at least 2 liters of fluid in the next 12 hours. B) The patient can resume a normal routine immediately. C) The patient should expect fecal urgency for several hours. D) The patient can expect some scant rectal bleeding.
The nurse identifies assessment findings for an African-American client with preeclampsia. Blood pressure is 158/100 mmHg; urinary output 50 mL/hour; lungs clear to auscultation; urine protein 1+; 1+ edema hands, feet, ankles
On the next hourly assessment, which new assessment finding would indicate worsening of the condition? A) Blood pressure 158/100 mmHg B) Platelet count 150,000 C) Urinary output 20 mL/hour D) Reflexes 2+
After the stress of having a child at such an early age, being in (or needing to be in) school, and having difficulties with employment, most young mothers
a. Are careful to use birth control to avoid further pregnancies. b. Are so angry at men that they do not engage in sexual relationships. c. Become pregnant again while still a teenager. d. Postpone further childbearing until they are through school and have a good job.