The nurse identifies the diagnosis of decreased cardiac output for a patient with a cardiac valve disorder. Which interventions should the nurse include in this patient's plan of care? (Select all that apply.)
a. Provide oxygen as prescribed.
b. Maintain fluid restriction of 1000 mL.
c. Elevate the head of the bed 45 degrees.
d. Encourage frequent periods of bedrest.
e. Assess vital signs and oxygen saturation.
ANS: A, C, D, E
When planning care for the patient with decreased cardiac output because of a cardiac valve disorder the nurse should provide oxygen as prescribed, elevate the head of the bed 45 degrees, encourage frequent rest periods, and assess vital signs and oxygen saturation. B. A fluid restriction is not an appropriate intervention for this nursing diagnosis.
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The drug category _______________________________ increases the availability of serotonin, which is decreased in the brains of depressed individuals
ANS:
Which of the following is the best use of the nurse's time while en route to the client's home?
a. Assess the surrounding neighborhood and the exterior of the client's home b. Begin the client record using a computer or oral recording device c. Look for appropriate places to obtain food, fuel, or rest stops for the nurse d. Consider if another home health agency would be closer to the client's home
What can affect the half-life of a drug?
a. Patient age b. Liver dysfunction c. Cardiac disease d. Smoking
The Joint Commission's (TJC's) staffing regulation states:
a. staffing ratios are recommended in peri-natal and critical care areas. b. nurse managers may determine the nurse-to-patient ratio as long as the pa-tient's needs are being met. c. hospitals must also provide the right number of competent staff members to meet the patients' needs. d. hospitals may limit the number of admis-sions to ensure there are an adequate number of staff members to meet patient needs.