A patient is scheduled for a pericardiocentesis. Which health problem is the patient likely experiencing?
1. cardiac tamponade
2. slow heart rhythm
3. chest pain
4. suspected damage to a heart valve
Correct Answer: 1
In the case of cardiac tamponade, pericardiocentesis is considered an emergency procedure. It is done to remove fluid from the pericardial sac, which is preventing the heart from pumping blood effectively. This procedure would not be recommended for patients with chest pain, slow heart rhythm, or suspected damage to a heart valve.
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A patient has come to the doctor's office after finding out that her blood glucose level was 135 mg/dL. She states that she had not eaten before the test and was told to come and see her doctor. She asks you if she has diabetes
The nurse responds: 1. "Having a fasting serum glucose that high certainly indicates diabetes." 2. "That test indicates that we need to do more tests that are specific for diabetes." 3. "How do you feel? Do you have any other signs of diabetes?" 4. "Do you have a family history of diabetes, stroke, or heart disease? We need to know before making a diagnosis."
The nurse is assessing a client who is at 35 weeks' gestation. What does the nurse expect the client to report at this phase of pregnancy?
1. Nausea and vomiting 2. Maternal ambivalence 3. Emotional shifts from highs to lows 4. Stretch marks on the abdomen
Upon auscultation, the nurse hears a whooshing sound at the fifth intercostal space. The nurse recognizes that this sound is
a. The beginning of the systolic phase. b. The opening of the aortic valve. c. S3, the third heart sound. d. Regurgitation of the mitral valve.
The nurse is discharging a client who gave birth to her first child two days ago. When discussing birth control, which question is the most important for the nurse to ask this client?
1. "Are you breastfeeding or bottle-feeding your baby?" 2. "What form of birth control does your husband want you to use?" 3. "How much weight did you gain during your pregnancy?" 4. "How soon do you plan to return to work?"