Which finding is abnormal when conducting inspection as part of a cardiovascular assessment?
1) Visible carotid pulsations
2) No neck vein distention
3) Large pulsations in the neck
4) Positive pulsation at the apex
ANS: 3
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Catheter-related bloodstream infections are a risk for a patient receiving parenteral nutrition. What are the primary sources of microorganisms for catheter-related bloodstream infections?
A) Catheter tip B) Catheter hub C) Nurses uniforms D) Nurses gloves
The nurse is caring for a client who is scheduled for a surgical transurethral resection of the prostate (TURP) for benign prostatic hyperplasia (BPH). The nurse would explain the client can expect which of the following postoperatively?
A) chemotherapy treatments that will start within two weeks postoperatively B) infertility, due to ligation of the vas deferens C) surgical dressing changes twice daily D) a urethral catheter with bladder irrigation
Concerning miscarriage, nurses should be aware that:
1. it is a natural pregnancy loss before labor begins. 2. it occurs in less than 5% of all clinically recognized pregnancies. 3. it can often be attributed to careless maternal behavior such as poor nutrition or excessive exercise. 4. if it occurs before the 12th week of pregnancy, it may only manifest itself in moderate discomfort and blood loss.
A patient is diagnosed with respiratory acidosis. Which health problems should the nurse consider as causing this patient's diagnosis? (Select all that apply.)
a. Anxiety b. Kidney failure c. Hyperventilation d. Shallow respirations e. Chronic lung disease f. Uncontrolled diabetes