A child with congestive heart failure (CHF) has been admitted. While assessing this client, the nurse would find which of the following?
1. Weight loss
2. Bradycardia
3. Tachycardia
4. Increased blood pressure
3. Tachycardia
Rationale:
Tachycardia is a sign of CHF because the heart attempts to improve cardiac output by beating faster. Bradycardia is a serious sign and can indicate impending cardiac arrest. Blood pressure does not increase in CHF, and the weight, instead of decreasing, increases because of retention of fluids.
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A patient who works in a plant nursery and has suffered an allergic reaction to a bee sting is stabilized and prepared for discharge from the clinic
During discussion of prevention and management of further allergic reactions, the nurse identifies a need for additional teaching based on which comment? a. "I need to think about a change in my occupation." b. "I will learn to administer epinephrine so that I will be prepared if I am stung again." c. "I should wear a Medic-Alert bracelet indicating my allergy to insect stings." d. "I will need to take maintenance doses of corticosteroids to prevent reactions to further stings."
A middle-aged male walks into the emergency department complaining of chest pain radiating to the neck, shortness of breath, and nausea
His heart rate is 120 and BP is 94/60. The ED physician recognizes the patient is having an acute MI with decreased cardiac output. The nurse identifies the nausea to be in response to A) the patient not having a very high pain tolerance. B) hypoxia exerting a direct effect on the chemoreceptor trigger zone. C) the patient not having digested his meal completely. D) fear of having to make major lifestyle changes.
Which of the following programs might be the most successful primary prevention in relation to teenage pregnancies?
A. An intense HIV prevention education program with distribution of free condoms B. Group meetings and counseling of new mothers and the grandmothers to help with family coping C. Use of peer counselors to visit pregnant teens D. Volunteers visit pregnant teens and their families to ensure early prenatal care
A 70-year-old man with diabetes mellitus is taking metoprolol (Lopressor) to manage his hypertension. The nurse would be sure to instruct the patient to
A) take his pulse at least four times a day. B) weigh himself once a week at the same time of the day. C) avoid smoke-filled rooms. D) understand the signs and symptoms of hypoglycemia.