Which of the following clinical manifestations are indicative of left ventricular failure? (Select all that apply.)
a. Cool, pale extremities
b. Jugular venous distention
c. Liver tenderness
d. Weak peripheral pulses
e. Rales
A, D, E
Patients presenting with left ventricular failure have one of the following: (1) decreased exercise tolerance, (2) fluid retention, or (3) discovery during examination of noncardiac problems. Clinical manifestations of left ventricular failure include decreased peripheral perfusion with weak or diminished pulses; cool, pale extremities; and, in later stages, peripheral cyanosis.
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A primary care provider's orders indicate that an informed consent needs to be signed for a cardiac catheterization. Which statement best illustrates the nurse fulfilling the client advocate role?
A) "The cardiologist has requested that you sign this informed consent form." B) "Do you have any questions about the cardiac catheterization procedure that the cardiologist explained to you earlier today?" C) "What were you told by the cardiologist about the cardiac catheterization procedure?" D) "Did the student nurse assist you in getting the informed consent signed for the cardiac catheterization procedure?"
The nurse is preparing to conduct an hourly assessment of a client who was placed in skin traction approximately 6 hours ago and has been stable since that time. The plan is to check the client's vital signs, pain level and complete what other assessments? Select all that apply.
A. Neurovascular assessment of the unaffected leg. B. Skin integrity of both heels. C. Massage the skin of the buttocks with a dry washcloth. D. Ensure traction weight is correctly placed. E. Ensure client's shoulders and hips are in alignment.
The community/public health nurse leads a support group for clients and their families who have been affected by cancer. Which of the following best describes this nursing intervention?
a. Specific protection b. Primary prevention c. Secondary prevention d. Tertiary prevention
When both parents have sickle cell trait, which is the chance their children will have sickle cell anemia?
a. 25% b. 50% c. 75% d. 100%