Which of the following clinical manifestations would be most significant when assessing a patient who had a percutaneous coronary intervention?
1. wheezing
2. headache
3. hives
4. chest pain
4
Rationale: Chest pain shortly after a percutaneous coronary intervention may indicate acute closure. If the patient complains of chest pain, the nurse should notify the cardiologist. The patient may need to return to the cardiac catheterization center for additional intervention. Wheezing, headache, and hives might indicate a reaction to the contrast medium.
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The patient who recently suffered a fractured femur and is currently in traction is at high risk for developing constipation. The most appropriate nursing intervention would be to:
1. get the patient up to the bathroom at least twice each day. 2. administer enemas each day until the patient has a bowel movement. 3. administer pain medication to prevent pain during defecation. 4. encourage a high-fiber diet and increased amounts of fluids.
Which client is most at risk for a uterine rupture?
a. A gravida 4 who had a classic cesarean incision b. A gravida 5 who had two vaginal births and one cesarean birth c. A gravida 3 who has had two low-segment transverse cesarean births d. A gravida 2 who had a low-segment vertical incision for birth of a 10-lb infant
Extrapyramidal symptoms are a side effect of perphenazine (Trilafon). The nurse should assess and observe for which sign of akathisia?
a. Restlessness and constant moving about b. Facial grimacing c. Chewing motion d. Involuntary eye movement
__________ is a foot deformity characterized by the inward turning of the foot at the ankle with the toe fixed in a tiptoe position
Fill in the blank(s) with correct word