A patient is admitted with a decrease in cardiac output. Which assessment findings would the nurse attribute to that condition?
1. Increased output of very clear urine
2. Cool hands and feet
3. Localized edema in the calf
4. Bounding apical impulse
Answer: 2
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The nurse is caring for a postpartal client who is experiencing afterpains following the birth of her third child. Which of the following comfort measures should the nurse implement to decrease her pain? Select all that apply
1. Offer warm blankets for her abdomen. 2. Call the physician to report this finding. 3. Inform her that this is not normal, and she will need an oxytocic agent. 4. Massage the fundus of the uterus gently and observe lochia for clots. 5. Administer a mild analgesic at bedtime to ensure rest. Correct
A client with autosomal dominant polycystic kidney disease (ADPKD) asks whether his children could develop this disease. Which is the nurse's best response?
a. "No genetic link is known, so your child-ren are not at increased risk." b. "The disease is sex linked, so only your sons could be affected." c. "Both you and your wife must have the disease for your children to develop it." d. "Each of your children has a 50% risk of having ADPKD."
The nurse is caring for a patient 1-day postoperative after a transverse colostomy. When assessing the stoma, which finding requires the nurse's immediate action?
a. A wet, glistening stoma b. A stoma with scant marginal bleeding c. An edematous stoma d. A purplish-red stoma
A 4-year-old girl presents with a fever of 103.2°F. The child's mother states that the fever came on suddenly and was not preceded by any symptoms. The child is conscious and alert with unlabored tachypnea, tachycardia, and a blood pressure that is consistent with her age. Prehospital treatment for this child includes all of the following, EXCEPT:
A) 81 mg of aspirin. B) free-flow oxygen. C) 250 mg of acetaminophen. D) simple cooling measures.