The nurse is caring for a patient diagnosed with cardiogenic shock due to cardiomyopathy. Which of the following manifestations is the nurse most likely to assess in this patient?
1. wheezing
2. S3 or S4 heart sound
3. pericardial friction rub
4. personality changes
2
Rationale: Clinical manifestations of cardiomyopathy include abnormal heart sounds, such as an S3 or S4. This condition may lead to cardiogenic shock. Wheezing is associated with anaphylaxis; pericardial friction rub is associated with cardiac tamponade; and personality changes are associated with carbon monoxide poisoning, all of which may result in other types of shock states.
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A) Urine calcium B) Chest pain rating C) Vital signs D) Serum potassium
What portion of the internal nose traps particles and kills bacteria?
a. Turbinates b. Mucous membrane c. Vestibular formations d. Cilia
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A) Mitral and tricuspid B) Tricuspid and pulmonic C) Pulmonic and aortic D) Aortic and mitral
The nurse is preparing to administer phenytoin to an 80-year-old patient and notes the following order: IVP phenytoin 50 mg. The nurse will perform which action?
a. Administer the undiluted drug through a Y-tube over two minutes. b. Contact the provider to question the route and the dose. c. Dilute the drug in dextrose solution and infuse over 15 to 20 minutes. d. Request an order to administer the drug intramuscularly.