A client with a bundle branch block is on a cardiac monitor. The nurse should expect to observe:
A. Sagging ST segments
B. Absence of P wave configurations
C. Inverted T waves following each QRS complex
D. Widening of QRS complexes to 0.12 second or greater
Ans: D. Widening of QRS complexes to 0.12 second or greater
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A nurse is collecting blood samples from a newborn. Which of the following interventions should the nurse take when obtaining a venous sample in order to minimize differences between capillary and venous results?
A) Use the first few drops of blood B) Obtain a brisk blood flow C) Cool the heel before drawing a capillary sample D) Clean the injection site after the sample is obtained
The nurse assesses the chest of a patient with pneumococcal pneumonia. Which finding would the nurse expect?
a. Increased tactile fremitus b. Dry, nonproductive cough c. Hyperresonance to percussion d. A grating sound on auscultation
Which of the following nursing assessment questions is best directed toward determining the presence of an occupational hazard-related condition specific for a client working in a dry clean-ing establishment?
1. "Do you have any problems with rashes or itching?" 2. "How long have you worked in the dry cleaning business?" 3. "Do you treat the minor burns you experience?" 4. "Do you drive the company van to make deliveries?"
To reassure and educate pregnant clients about changes in their cardiovascular system, maternity nurses should be aware that:
a. A pregnant woman experiencing disturbed cardiac rhythm, such as sinus arrhythmia requires close medical and obstetric observation, no matter how healthy she otherwise may appear. b. Changes in heart size and position and increases in blood volume create auditory changes from 20 weeks to term. c. Palpitations are twice as likely to occur in twin gestations. d. All of the above changes likely will occur.