Which of the following nursing actions is most important when caring for a patient with aortic valve stenosis?
1. alter position every 2 hours
2. keep head of bed elevated 30 degrees
3. encourage deep breathing and coughing exercises
4. assist the patient during any physical activities
4
Rationale: Symptoms specific to aortic valve stenosis include syncope on exertion as a result of decreased cerebral perfusion. A patient with aortic valve stenosis does not need to alter position every 2 hours to keep the head of the bed elevated 30 degrees. Deep breathing and coughing exercises are not indicated for this disorder.
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a. Epistaxis b. Neck stiffness c. Excessive eye tearing d. Gum tenderness and redness around the teeth
A nurse is studying personality disorders. What statement would indicate that the nurse can differentiate between personality traits and personality disorders?
1. "Personality traits are persistent behavior traits that do not significantly interfere with an individual's life." 2. "Personality traits are lifelong maladaptive patterns." 3. "Personality traits are rigid, stereotyped behavioral patterns." 4. "Personality traits are enduring and deviate from societal norms."
A 150-lb man is to receive a medication based on milligrams/kilograms. He is to receive 1 mg/kg. What dosage should the nurse administer?
a. 50 mg b. 68 mg c. 75 mg d. 80 mg
An African American 45-year-old male has developed essential hypertension. The nurse knows which of the following is likely the biggest contributor to hypertension for this client?
1. This client is obese. 2. This client smoked for 6 months when he was 17 years old. 3. This client has a family history of obesity. 4. This client runs 4 miles per day.