It has been determined that a patient has cardiogenic shock. The nurse realizes that the medical diagnosis in which this type of shock is most likely seen would be
1. third spacing.
2. myocardial infarction.
3. hemorrhage.
4. tension pneumothorax.
2
Rationale: Myocardial infarction may produce necrotic areas of cardiac tissue that lead to impaired contractility and decreased cardiac output. This may lead to a cardiogenic shock state. Hemorrhage may lead to a hypovolemic or transport shock state, whereas tension pneumothorax may lead to an obstructive shock state.
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A client scheduled for a dilation and evacuation following a miscarriage is visibly upset and states that she is frightened and does not know what to expect. The perioperative nurse best de-monstrates understanding of the situation by saying
a. "I'll give you something to help you relax." b. "Let me explain what is going to happen." c. "This is a simple procedure; it will be over in no time." d. "You're still young, and you can have more children."
To best help manage health care costs in older adults, the nurse entrepreneur would do which of the following?
a. Create a telehealth system where nurses could check on patients daily. b. Provide local transportation services for older people to keep appointments. c. Create educational videos in multiple languages seen in the community. d. Build a nurse-run clinic to serve the homeless and underinsured population.
During administration of an intradermal injection, the nurse notices that the outline of the needle bevel is visible under the client's skin. How should the nurse proceed?
1. Recognize that this is an expected finding in a properly administered intradermal injection. 2. Withdraw the needle, prepare a new injection, and start again. 3. Insert the needle further into the skin at a deeper angle. 4. Turn the needle so that the bevel is down and inject the medication slowly, looking for development of a bleb.
The nurse is reviewing the embryonic primary germ layers with a group of students. Which structures should the nurse identify as being formed from the mesoderm? Select all that apply
1. Nails 2. Liver 3. Spleen 4. Muscles 5. Skeleton