The nurse caring for a client diagnosed with pericarditis assesses the client and finds BP has decreased from 140/90 to 122/88, and carotid veins are distended. The nurse notifies the physician and prepares for:
1. Angiography.
2. Assessment of orthostatic hypotension.
3. Pericardiocentesis.
4. Cardiac catheterization.
3
Rationale: The client's symptoms indicate that a collection of fluid in the pericardium from the inflamed tissue is restricting cardiac contraction, and the fluid must be removed in order for the heart to contract normally. This will be done by pericardiocentesis.
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The nurse is discussing proper nutrition with older community members at a senior citizen center. What should the nurse teach as general guidelines for healthy older individuals? Standard Text: Select all that apply
1. Calcium intake should be 1,000 mg for those over the age of 51 years. 2. Older individuals need to take supplements of vitamins A, C, E, and K. 3. Vitamin D intake should be 600 IU up to age 70 and 800 IU if older than 70. 4. Ingest at least 0.8 grams of protein for each kilogram of body weight each day 5. Fluid intake each day should be at least 13 cups for men and 9 cups for women.
You are caring for a patient admitted with a myocardial infarction. While you are doing the admission assessment, the patient asks you for a laxative. The patient tells you he suffers from constipation
What would you teach this patient to do to help his constipation? A) Take a mild laxative every day B) Drink prune juice every day C) Establish a nutritious diet D) Don't strain during defecation
The cost-benefit ratio must be considered in implementing proposed changes in patient care. This is done by
a. comparing the benefits of the proposed change to the length of time it takes to implement the change across an organization. b. comparing the number of patients who may benefit from the change to the annual cost of the their care. c. comparing the benefits of the proposed change to any potential cost that may result from the change. d. comparing the potential cost of a change to the standard reimbursement policies of the primary third-party payers.
A 32-year-old primipara who is 8 weeks' gestation asks you if she should expect any respiratory changes as her pregnancy progresses. What should the nurse tell her?
1. "By the third trimester, you will no longer feel as though you're short of breath." 2. "If you develop shortness of breath, it should improve in the last few weeks of your pregnancy, as lightening occurs." 3. "Shortness of breath is an abnormal finding during any stage of pregnancy, and it's considered a serious complication." 4. "You may experience shortness of breath due to stretching of the round ligament."