The nurse is preparing to assess the blood pressure of a young child. Which technique should the nurse use to assess the pressure?
A. Right arm.
B. Left arm.
C. Arm and thigh.
D. Both arms.
Answer: C
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A nurse is explaining Graves disease to a newly diagnosed patient. Which statement by the nurse best clarifies the pathophysiologic changes of Graves disease?
a. "Your thyroid gland is not producing enough hormones; consequently, you will need replacement therapy." b. "Your thyroid gland is overactive, but there are ways to treat it through medicine or surgery." c. "It's an autoimmune disorder that has no satisfactory treatment." d. "Graves disease is a temporary disorder that will gradually subside."
The nurse accompanies the physician into the client's room and listens as the diagnosis of cancer is shared with the client and family. After the physician answers questions and leaves the room, the nurse's best action is to:
1. Provide teaching about the treatment options for this form of cancer. 2. Help the client and family remain realistic about prognosis. 3. Provide emotional support in coping with the diagnosis. 4. Arrange for the client to complete a medical power of attorney form.
A nursing instructor is preparing a class on newborn adaptations. When describing the change from fetal to newborn circulation, which of the following would the instructor most likely include? (Select all that apply.)
A) Decrease in right atrial pressure leads to closure of the foramen ovale. B) Increase in oxygen levels leads to a decrease in systemic vascular resistance. C) Onset of respirations leads to a decrease in pulmonary vascular resistance. D) Increase in pressure in the left atrium results from increases in pulmonary blood flow. E) Closure of the ductus venosus eventually forces closure of the ductus arteriosus.
A 64-year-old client is seen in the emergency department for palpitations and mild shortness of breath
The electrocardiogram (ECG) reveals a normal P wave, P-R interval, and QRS complex with a regular rhythm and rate of 108 beats per minute. The nurse should recognize this cardiac dysrhythmia as: 1. Sinus dysrhythmia 2. Sinus tachycardia 3. Supraventricular tachycardia 4. Ventricular tachycardia