A client with a history of previous myocardial infarction is admitted with heart failure. What statement made by this client would alert the nurse to suspect the occurrence of heart failure?
A. "It is getting more difficult to climb the stairs to reach the bathroom."
B. "I think my dose of digoxin may need to be increased."
C. "I have trouble remembering things recently."
D. "I have noted a loss of appetite recently."
A
Dyspnea on exertion (DOE) is an early manifestation of heart failure and is associated with ac-tivity, such as stair climbing.
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Which characteristics of the unit milieu are most likely to result in a low incidence of violent behavior?
a. A milieu that emphasizes maintaining control and structure b. A unit that is adequately staffed and not overcrowded c. A unit that has a high percentage of newer, fresher staff d. A milieu that focuses on privileges to reward or punish behavior
Mrs. Black is a 49-year-old patient who presents to the office with complaints of fatigue and joint pain. When examining the epitrochlear nodes, which joint should be supported?
a. Elbow b. Knee c. Shoulder d. Wrist
A female patient who has a history of heavy menstrual periods is experiencing shortness of breath with exertion, pallor, and fatigue
Her hemoglobin and hematocrit levels are both lower than normal, and her CBC reveals microcytic and hypochromic erythrocytes. What will the nurse do? a. Contact the provider to discuss an order for 600 mg of PO ferrous sulfate BID. b. Recommend an over-the-counter folic acid supplement of 400 mcg/day. c. Suggest an over-the-counter iron supplement of 325 mg/day. d. Tell her to consult a dietician about including iron-rich foods in her diet.
A client with severe and persistent paranoid schizophrenia has been threatening to harm his neighbors, who he claims talk about him on the telephone. He was admitted to the hospital for evaluation
What is an appropriate outcome for the client? Client will: 1. Demonstrate absence of verbal intention to harm others 2. Apologize to his neighbors for his behavior toward them 3. Demonstrate socially acceptable behavior 4. Initiate conversation with the staff