The client has a history of rheumatic fever. Which layer of the heart is at the greatest risk for damage due to infection?

A. Epicardium.
B. Pericardium.
C. Myocardium.
D. Endocardium.


Correct Answer: D. Endocardium.
Strep infections can cause rheumatic fever. Rheumatic fever can damage the client's endocardium. The endocardium makes up the innermost layer of the heart and valve tissue.

Nursing

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Order the following stages of Roberts' Seven-Stage Crisis Intervention Model

1. ________ Deal with feelings and emotions. 2. ________ Generate and explore alternatives. 3. ________ Rapidly establish rapport. 4. ________ Psychosocial and lethality assessment. 5. ________ Identify the major problems or crisis precipitants. 6. ________ Follow up. 7. ________ Implement an action plan.

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You are transferring a patient who is in the progressive stage of shock into ICU from your medical-surgical unit. You are aware that the shock affects many organ systems and that nursing management of the patient will focus on what?

A) Reviewing the cause of shock and trying to limit the progression B) Assessing and understanding shock and the significant changes in assessment data to guide the plan of care C) Giving the prescribed treatment but shifting focus to providing family time as the patient is unlikely to survive D) Giving progressive care to the patient and family using critical pathways for shock therapy

Nursing

The nurse is caring for a child who has had a cast applied to treat a fracture of the fibula. Which pulse should the nurse assess to monitor blood flow in the affected extremity?

A) Tibial pulse B) Brachial pulse C) Apical pulse D) Radial pulse

Nursing

The nurse used the health-promoting lifestyle profile to measure health-promoting lifestyle behaviors of participants at a meeting. What must the nurse do while reviewing the results with each individual?

A. Arrange with each client's employer for some time for the individual to engage in health-promoting behaviors. B. Collaborate with the client in choosing what changes to make. C. Explain to the client's family how they can encourage the client to engage in new behaviors. D. Tell the client what they should do to improve their health.

Nursing