A patient is being treated for heart failure. Which of the following is indicative of improved heart failure status?
A) Decreased pedal edema
B) Increase skin turgor
C) Heart rate of 52
D) Improved sensorium
A
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The nurse is performing a physical exam on a child who presents with enlarged lymph nodes and general malaise. Differential diagnosis for diagnosis of Hodgkin's lymphoma would include which of the following assessment findings?
1. Fever and joint pain 2. Bruising and petechiae 3. Firm and non-tender lymph nodes 4. Enlarged and painful lymph nodes
The Emergency Department charge nurse receives a call from the emergency medical technicians that there is a train accident with numerous injured clients. Which of the following would the charge nurse do first?
1. Call the nursing supervisor to obtain more nursing staff. 2. Prepare triage rooms to admit the victims. 3. Alert other departments of the possible need for added services. 4. Activate the agency disaster plan.
Regulation of the gastrointestinal system requires which two mechanisms?
1. Neural control and cardiovascular control 2. Secretion of hormones and kidney filtration 3. Neural control and secretions of hormones 4. Cardiovascular control and kidney filtration
A patient complains of gas pains and abdominal distention two days after a small bowel resection. Which nursing action is best to take?
a. Encourage the patient to ambulate. b. Instill a mineral oil retention enema. c. Administer the ordered IV morphine sulfate. d. Offer the ordered promethazine (Phenergan) suppository.