A client diagnosed with polycythemia vera has come into the clinic because he has developed a nighttime cough, fatigue, and shortness of breath. What complication would you suspect in this client?
A) Stroke
B) Tissue infarction
C) Congestive heart failure
D) Pulmonary embolus
C
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The symptoms exhibited by this client are indicative of congestive heart failure. Complications include hypertension, congestive heart failure, stroke, tissue and organ infarction, and hemorrhage. Stroke would present with headache, aphasia, and/or numbness in extremities. Tissue infarction would involve extremity discoloration or an organ failure. Pulmonary embolism would be associated with chest pain.
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A child is diagnosed with epilepsy and is prescribed daily phenytoin (Dilantin). Which topic is most appropriate for the nurse to include in the discharge teaching?
1. Increasing fluid intake 2. Performing good dental hygiene 3. Decreasing intake of vitamin D 4. Taking the medication with milk
Which symptom should the nurse anticipate for a client experiencing cardiogenic shock?
A. Bradycardia B. Low temperature C. Restlessness and anxiety D. Tachycardia and low blood pressure
High School ____ had the highest rate of current use of illicit drugs (9%).
Fill in the blank(s) with the appropriate word(s).
A nursing team leader is making an assignment for a new graduate licensed practical/vocational nurse (LP/VN) who just completed general orientation for the nursing facility
The nurse reports that she is nervous and afraid to care for a full assignment of clients. Each nurse on the geriatric unit usually cares for a total of six clients. There are two triads of one NA shared by two LP/VNs for the 24-bed unit, and there is one registered nurse (RN) acting as team leader. Which leadership quality of the team leader will be most helpful for the new nurse's first day on the geriatric unit? A) Is skilled at problem solving when urgent or emergent situations with clients arise on the unit B) Acts as a mentor and assigns the new nurse three clients and takes the other three clients C) Is clinically proficient and is an excellent resource for the nurses working on the geriatric unit D) Uses humor appropriately to lighten up the work day for the staff, and to help clients have some fun