Which finding would cause the nurse to be concerned that a patient who sustained chest trauma is experiencing cardiac tamponade?
1. Distant heart sounds
2. Decrease of right arterial pressure
3. Sudden development of hypertension
4. Development of an S3 heart sound
Answer: 1
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The nurse admits the client to the obstetrician's office for a routine prenatal visit. The nurse obtains the client's vital signs and fetal heart tones
When the vital signs are assessed, the nurse finds the fetal heart rate and client's pulse are the same, at 92 beats per minute. The nurse interprets this to indicate: 1. The fetus is in distress, and requires immediate intervention. 2. The fetus and mother are both doing well. 3. The fetal heart tones should be reassessed. 4. The mother should be admitted to the Labor and Delivery unit immediately.
Today, professional nursing education begins at the
a. undergraduate level. b. graduate level. c. advanced practice level. d. administrative level.
A nurse reviews vital signs for a patient admitted with an injury sustained while intoxicated. The medical record shows these blood pressure and pulse readings at the times listed:
0200: 118/78 mm Hg and 72 beats/min 0400: 126/80 mm Hg and 76 beats/min 0600: 128/82 mm Hg and 72 beats/min 0800: 132/88 mm Hg and 80 beats/min 1000: 148/94 mm Hg and 96 beats/min What is the nurse's priority action? a. Force fluids. b. Consult the health care provider. c. Obtain a clean-catch urine sample. d. Place the patient in a vest-type restraint.
M.E.'s daughter expresses some frustration at the number of tests M.E. had to undergo and
the length of time it took someone to diagnose M.E.'s problem. What tests are likely to be performed, and how is AD diagnosed? What will be an ideal response?