Which parental statement indicates correct understanding for the reason a cardiac catheterization is needed for a child who is diagnosed with a congenital heart defect?
1. "This procedure will keep the ductus arteriosus open and oxygenated and unoxygenated blood mixed."
2. "This procedure is used to close the ductus arteriosus to prevent mixing of arterial and venous blood."
3. "This procedure will redirect the blood so that blood bypasses the right ventricle."
4. "This procedure connects the ventricle to the atrium."
1
Explanation:
1. This statement is accurate.
2. A stent maintains an opening; it does not close an opening.
3. A stent maintains the ductus as patent. It does not bypass the ventricle.
4. This is not the purpose of the stent.
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A nurse assesses a client who is recovering from a transsphenoidal hypophysectomy. The nurse notes nuchal rigidity. Which action should the nurse take first?
a. Encourage range-of-motion exercises. b. Document the finding and monitor the client. c. Take vital signs, including temperature. d. Assess pain and administer pain medication.
A competent older adult client has a living will that expresses the client's desire to avoid resuscitation and heroic life support measures. The family members are not supportive of this directive and plan to contest the living will. Which nursing action
A) Place the document on the chart. B) Contact the Social Services department. C) Explain to the client that the conflict could invalidate the document. D) Notify the hospital attorney.
The client is admitted to the emergency department with complaints of abdominal pain. The client denies any nausea or vomiting. When asked, the client states the pain started 2 hours ago and describes the pain as "cramping."
The client is most likely experiencing what type of pain? 1. Chronic pain 2. Phantom pain 3. Visceral pain 4. Acute pain
The nurse instructs a patient about the prescribed medication zolpidem (Ambien). Which patient statement indicates that teaching was effective?
A. "I should report any confusion or hallucinations." B. "I can take this medication with my evening cocktail." C. "I can take this medication any time before going to bed." D. "This medication causes no side effects."