The nurse is assessing clients at a community clinic. Which client does the nurse assess most carefully for atrial fibrillation?
a. Middle-aged client who takes an aspirin daily
b. Client who is dismissed after coronary artery bypass surgery
c. Older adult client after a carotid endarte-rectomy
d. Client with chronic obstructive pulmonary disease
B
Atrial fibrillation occurs commonly in clients with cardiac disease and is a common occurrence after coronary artery bypass graft (CABG) surgery. The other conditions do not place a client at higher risk for atrial fibrillation.
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A nurse is presenting an educational event for a local community group. The nurse is teaching about premenstrual syndrome. What treatment guideline would the nurse teach this group?
A) Decrease water intake. B) Increase exercise. C) Premenstrual symptoms are generally psychosomatic. D) Decrease intake of fruits and vegetables.
A 68-year-old woman tells the nurse that her breasts are sagging, she no longer menstruates, and sexual intercourse is sometimes uncomfortable. What information should the nurse include in responding to this client?
a. The client should see a physician because these are not normal changes associated with aging. b. Suggest that the client try using a water-soluble lubricant before intercourse. c. Cessation of menses is normal, but the other changes are not. d. Sexual intercourse at this age is not necessary; avoid it if it is uncomfortable.
The nurse is caring for an infant with a diagnosis of hydrocephalus and is monitoring the infant for signs of increased intracranial pressure (ICP). The nurse suspects increased ICP if which of the following is noted?
1. Proteinuria 2. Bradycardia 3. A drop in blood pressure 4. A bulging anterior fontanel
A client has been admitted to the healthcare center and has been diagnosed with
emphysema. The arterial blood gas results reveal respiratory acidosis. Which point will help the nurse understand what respiratory acidosis is? A) Too little carbon dioxide in the blood B) Presence of food in the respiratory passage C) Excess of carbon dioxide in the blood D) Inflammation of the pleura