A nurse will be performing frequent assessment and reassessment of a client. Which form would be most appropriate for the nurse to use?
A) A screening tool that assesses specific risks
B) An integrated cued checklist
C) An abbreviated admission data sheet
D) An assessment flow chart
D
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A patient has been started on dantrolene (Dantrium). What is the most serious adverse effect about which the patient should be instructed?
A) Metabolic acidosis B) Hypercarbia C) Renal calculi D) Hepatitis
A patient with an acute brain injury is receiving IV mannitol, an osmotic diuretic. If this medication is effective, what does the nurse expect?
A) Increased cerebral perfusion pressure B) Increased serum osmolarity above 320 mOsm C) Reduction of Glasgow Coma Scale values D) Development of fixed and dilated pupils
A condition with a deficiency in growth hormone is called ________________
ANS:
The nurse is explaining to the student nurses the different heart sounds that are assessed during the cardiac assessment. Which statement made by a student indicates understanding of the expected normal heart sounds?
1. "If I hear the S1 as lub and S2 as dub, then that is normal and means that the valves are working." 2. " If I hear a 'lub-dub-ee' it means the client has a ventricular gallop." 3. "If I hear 'dee-lub-dub' then the client may have an atrial gallop. This occurs near the very end of diastole just before S1 and creates the sound." 4. "If I hear the 'dee-lub-dub' sound in an older adult, then I should know that is considered normal for the older client."