A nurse is on the cardiac floor and is describing to a new nurse which signs and symptoms to be looking for to recognize cardiac tamponade. Which signs and symptoms are a part of Beck's triad? Select ALL that apply
a. Thready pulse
b. Hypotension
c. Muffled heart sounds
d. Jugular vein distension
e. Tachycardia
b. Hypotension
c. Muffled heart sounds
d. Jugular vein distension
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A community health nurse constructs an ecomap for a family based on the understanding that this tool is useful for which reason?
A) Family relationships over three or more generations are depicted. B) The ecological system of a family's neighborhood is charted. C) The connections between the family and other systems can be seen. D) Directions for gathering data about neighborhoods are provided.
A child has recently been diagnosed with leukemia. The child's sibling is expressing feelings of anger and guilt. This reaction by the sibling is
1. abnormal; the sibling should be referred to a psychologist. 2. normal; the illness doesn't affect the sibling. 3. unexpected; the cancer is easily treated. 4. normal; the sibling is affected, too,and anger and guilt are expected feelings.
On admission to the acute care unit a patient tells the nurse that she stopped taking her prescribed clonazepam (Klonopin) 2 days ago. What is the nurse's best first action?
a. Ask the patient why she stopped taking the clonazepam. b. Administer a dose of clonazepam immediately. c. Document this information as the only action. d. Notify the prescriber and watch for seizures.
The nurse manages the care of a patient with ulcerative colitis being treated with azathioprine. Which laboratory test result should be monitored periodically?
1. Microscopic urine examination 2. CBC with differential 3. Immunoglobulin survey 4. Serum albumin