In reviewing an ECG tracing from a client undergoing preadmission testing for surgery, a nurse observes the presence of a large, wide Q wave. What is the nurse's interpretation?
A. The client is experiencing angina.
B. The client has had a myocardial infarction in the past.
C. The client's atria are enlarged and failing.
D. The client's ECG pattern is a common variation of normal sinus rhythm.
B
A wide and large Q wave develops as a result of myocardial infarction and necrotic ventricular cells that do not conduct electrical impulses. This change is usually permanent and, when it ap-pears alone, indicates a past MI.
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A nurse questions an older patient about the age-related changes she has experienced in her connective tissue, which have lessened her mobility. What do these changes most commonly in-clude? (Select all that apply.)
a. Loss of bone, which may cause fragile bones b. Thickening of the tendons, causing loss of strength c. Bony deposits in the joints, causing pain and altered movement d. Hardening of cartilage, causing more fric-tion in joints e. Diminished energy, causing decreased activity
A patient is being treated for a common neurological disease that is characterized by abnormal cell firing in the brain. For what should the nurse assess in this patient?
1. loss of consciousness 2. seizures 3. decerebrate posturing 4. headache
A patient is at 12 weeks' gestation with her first baby. She has cardiac disease, class III. She states that she had been taking sodium warfarin (Coumadin), but her physician changed her to heparin. She asks the nurse why this was done
The nurse's response should be: 1. "Heparin may be given by mouth, while Coumadin must be injected." 2. "Heparin is safer because it does not cross the placenta." 3. "They are the same drug, but heparin is less expensive." 4. "Coumadin interferes with iron absorption in the intestines."
Which statement would alert the nurse to the potential for impaired bonding between mother and newborn?
A) "You have your daddy's eyes." B) "He looks like a frog to me." C) "Where did you get all that hair?" D) "He seems to sleep a lot."