The home health nurse is assessing the home-bound patient with heart failure. Which assessment finding is of most concern to the nurse?
a. The patient complains of moderate short-ness of breath after walking 1 mile on the treadmill.
b. The nurse notes a 3-lb weight gain over the course of a week.
c. The patient reports an increase of heart rate of 10 beats per minute after vacuum-ing the floor.
d. The patient reports an increase in urinary output.
B
A weight gain without an increase in caloric intake is indicative of fluid retention, which is an indication of worsening heart failure. Moderate shortness of breath after exercise and a mild in-crease in heart rate after activity are expected. A decrease in urinary output would be of concern.
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The nurse is teaching a patient how a medication works to treat an illness. To do this, the nurse will rely on knowledge of which topic?
a. Clinical pharmacology b. Drug efficacy c. Pharmacokinetics d. Pharmacotherapeutics
________ is the preferred route for the treatment of choriocarcinoma using methotrexate.
A. Subcutaneous injection B. Oral administration C. Intravenous administration D. Intramuscular injection
The nurse is learning how to communicate effectively within a therapeutic nurse-patient relationship. What struggle is most harmful when the nurse is new to this type of relationship?
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