Pulses can be felt in locations where large veins come close to the skin.
Answer the following statement true (T) or false (F)
False
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Which cardiovascular findings indicate to the nurse that the condition of the dying client is worsening?
A) Pulse 104 beats/minute in the morning, 62 beats/minute in the afternoon with mottled feet and ankles B) Pulse 72 beats/minute, irregular; patient confused and agitated C) Pulse 100 beats/minute, blood pressure 100/60 mm Hg, pale with poor skin turgor D) Pulse 60 beats/minute, blood pressure 90/42 mm Hg, difficult to arouse
A nursing student taking care of a suicidal client realizes that she must provide an opportunity for the family to discuss suicide and death because:
A) The client won't tell the family members the truth about the attempted suicide. B) The family members may be too angry with the client to talk rationally. C) Family members and clients have a need to talk in an environment of acceptance and understanding. D) The client is too ashamed.
A patient tells the nurse that he's happy that his wife did not "catch" the same cold from which he has recently recovered. The nurse realizes that what most likely occurred in his wife?
1. Helper T cells had a memory of a previous exposure to the same virus that caused the patient's illness. 2. Suppressor T cells killed the virus. 3. The virus was eliminated via phagocytosis by neutrophils. 4. Cytokines were released.
The patient at term has a suspected small pelvis. The fetus has an estimated weight of 4,200 g (9 pounds, 4 ounces). Spontaneous labor has begun, and the patient is now at 6 cm
The nurse understands that the most important nursing action for this patient is to: 1. Assist the patient to squat during the second stage. 2. Encourage oral fluids and carbohydrate intake. 3. Assess the cervix for change every eight hours. 4. Inform the couple that labor might be prolonged.