The nurse palpates a thrill on a patient's precordium. With which health problem should the nurse associate this finding?
1. severe valve stenosis
2. enlarged heart
3. stenosis of the carotid arteries
4. aortic aneurysm
Correct Answer: 1
A palpable thrill over the precordium indicates severe valve stenosis. A thrill is not present when the heart is merely enlarged. Stenosis of the carotid arteries would produce a thrill palpable on the neck over the carotid arteries, not the precordium. Increased pulsations in the aortic area indicate an aortic aneurysm.
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A. Include positive and negative outcomes. B. Be realistic and measureable. C. Be formal and informal. D. Focus on the best possible options even if unrealistic.
The nurse is preparing to administer warfarin (Coumadin) to a client with deep vein thrombophlebitis (DVT). Which laboratory value would most clearly indicate that the patient's warfarin is at therapeutic levels?
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The stepfather of a child diagnosed with a conduct disorder wants to know the reason for including him in family therapy sessions. What will the nurse tell the stepfather is the goal of family therapy?
1. Help the child relive past events and related feelings. 2. Increase the probability that the child's mental health will improve. 3. Speak for the child so the parents can become more aware of the child's potential. 4. Provide an opportunity for the parents to interact with their child in a safe environment.
The nurse assesses which patient as being at the highest risk for poisoning related to mixing garden chemicals?
a. The patient who has Parkinson disease with hand tremors b. The patient who has low vision or uses magnifying glasses c. The patient who has hearing impairment or wears hearing aid d. The patient who has osteoarthritis or using a wheeled walker