When caring for a client with an 8-cm abdominal aortic aneurysm (AAA), the nurse recognizes that which problem must be addressed immediately to prevent rupture?
A. Heart rate 52
B. Blood pressure 192/102
C. Report of constipation
D. Anxiety
Ans: B. Blood pressure 192/102
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A patient presents at the walk-in clinic complaining of stomach pain that is relieved by eating which the nurse suspects is caused by a peptic ulcer. How would the nurse explain the ulceration in the stomach to the patient?
A) A mucosal lining protects the stomach from hydrochloric acid and a reduction in the mucosal lining or increase in acid production allows peptic ulcers to develop. B) After digesting food, the stomach secretes a neutralizing solution to make the pH of the stomach neutral and if this doesn't occur peptic ulcers can develop. C) Our body makes hydrochloric acid for the digestion of the food we eat and that can eat right through the stomach causing ulceration when you eat a diet high in spicy food. D) Acid is secreted by cells in the first part of the small intestine and when we eat the acid flows into the stomach so people who eat often have more exposure to acid.
The nurse reminds the patient recovering from a hip replacement that the exercises performed in the physical therapy department are considered:
a. alternative therapies. b. complementary therapies. c. comfort therapies. d. body therapies.
Mary Mahoney is best known for:
A) Being one of the original members of the Nurses Associated Alumnae of the United States and Canada (later known as the American Nurses Association) B) Her work as a child advocate C) Founding the nursing school at Massachusetts General Hospital D) Her work in promoting birth control for women
Which cardiovascular manifestations should the nurse anticipate for a pediatric client diagnosed with moderate uncompensated hypovolemic shock? Select all that apply
1. Tachycardia 2. Weak distal pulses 3. Thready distal pulses 4. Normal blood pressure 5. Decrease in systolic blood pressure