What physical assessment findings would be expected in a client with atrial flutter with a rapid ventricular response?
A. The presence of a split S1 and rhonchi
B. Halo vision, anorexia, and nausea and vomiting
C. Palpitations, shortness of breath, and anxiety
D. Diaphoresis, hypertension, and mental status changes
C
Rapid atrial flutter may be manifested as palpitations, shortness of breath, and anxiety. Syncope, angina, and evidence of heart failure also may be present.
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A nurse is conducting a physical assessment in a clinic with a partly undressed patient. What action by the nurse is most appropriate?
a. Offer the patient a small pillow for under his/her head. b. Provide a method for ensuring the patient stays warm. c. Raise the head of the bed to about 30 degrees. d. Ensure there is enough lighting for an adequate examination.
A nurse is teaching a group of nursing students about administering medications to older adult patients. Which statement by a student indicates a need for further teaching?
a. "Alteration in hepatic function requires more frequent drug dosing." b. "Changes in GI function in older adult patients lead to lower serum drug levels." c. "Most adverse drug reactions in older adult patients are related to altered renal function." d. "Most nonadherence among older adult patients is intentional."
Carotid endarterectomy should only be considered for symptomatic patients with greater than what percent stenosis?
a. Greater than 25% c. Greater than 75% b. Greater than 50% d. Only for 100% occlusion
The nurse is preparing to administer 8 mg of a 10 mg dose of an intravenous narcotic. Which of the following statements made by the nurse best reflects an understanding of the appropriate manner to handle this situation?
1. "I will sign out the narcotic before the end-of-shift count is completed." 2. "I need to get another RN to witness the waste and sign the narcotic sheet." 3. "Narcotics are expensive, so it makes sense to save the unused portion for the next time they need the drug." 4. "I always make sure someone sees me place the unused portion on the narcotic in the sharps container."