Mrs. Gilbert, a 72-year-old patient with congestive heart failure, states that she is fatigued and often feels faint when trying to get up and walk. She currently takes digitoxin and Lasix (furosemide). What is the most likely cause of her problem?
A) Dimished blood flow to the brain
B) Dimished blood flow to the extremities
C) Hypokalemia
D) Hyperkalemia
C
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Which is the most appropriate guideline for a nurse who makes decisions about vaccines in the elderly?
A) Immunizations should be given until the person does not seem to respond to them anymore. B) Vaccines are more successful if the elderly person takes additional measures to improve their effectiveness. C) Vaccines can be less effective in the elderly because of age-related changes in the immune system in response to foreign antibodies. D) Immunizations should be continued although they may cause T-cell function to decline and result in a weaken response to their effectiveness.
Medications are typically started for angina patients when:
1. The first permanent EKG changes occur 2. The start of class I or II symptoms 3. The events trigger a trip to the emergency department 4. When troponin levels become altered
A nurse is working in the emergency room when a child is brought in with injuries and a history that suggests sexual abuse. The child is not cooperative
Which of the following reasons presents the best rationale for waiting until the child is cooperative, instead of restraining and forcing the child to submit to the examination? a. The hospital staff would likely be charged with abuse. b. One of the parents may object to restraint if both have not signed informed consent, especially if they are divorced. c. Forcing participation may damage the child's ability to give testimony in a criminal case. d. Forced examination may not provide accurate results.
The nurse is providing care to a patient 3 days after a Billroth I procedure. About which observation should the nurse be most concerned?
a. Pulse 58 beats per minute b. Incisional pain score 4 on a 1 to 10 scale c. Patient becomes tearful while viewing the incision d. Reports of abdominal cramping shortly after eating