The nurse reminds the client who has received a heart transplant to change positions slowly. Why is this instruction a priority?
a. Rapid position changes can create shear and friction forces, which can tear out in-ternal vascular sutures.
b. The new vascular connections are more sensitive to position changes, leading to increased intravascular pressure.
c. The new heart is denervated and is unable to respond to decreases in blood pressure caused by position changes.
d. The recovering heart diverts blood flow away from the brain when the client stands, increasing the risk for stroke.
C
Because the new heart is denervated, the baroreceptor and other mechanisms that compensate for blood pressure drops caused by position changes do not function. This allows orthostatic hypo-tension to persist in the postoperative period.
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How can the nurse best increase the client's motivation to learn? A) Offering to do the procedure for the client each time it is scheduled B) Demonstrating the finger stick on the nurse C) Teaching the client's support system how to perform the procedure D) Encouraging the client's participation each time the procedure is performed
Travis coined the term wellness to help bring to mind the idea of health as holistic rather than merely the absence of disease or illness. One of the five dimensions of wellness is:
1. Physical fitness 2. Advanced age 3. Dementia 4. Cohesiveness
A patient needs to take 875 mg of ibuprofen twice daily. The pills in the bottle are each 250. mg. How many pills does the patient need to take each time she wants the 875 mg dosage? Assume that these pills are scored and can be cut in half if necessary.
A client is to receive oprelvekin (Neumega). The nurse confirms that the client is experiencing fluid retention related to the medication by monitoring the client for evidence of:
a. peripheral edema and exertional dyspnea. b. bradycardia and hypotension. c. restlessness and hypoxia. d. hypothermia and ventricular dysrhythmias.