While completing a health history the nurse suspects that the patient is experiencing manifestations of scleroderma. What did the nurse assess to make this clinical decision?
Select all that apply.
1. dysphagia
2. hypotension
3. telangectasias
4. exertional dyspnea
5. pursed-lip appearance
Correct Answer: 1, 3, 4, 5
The patient with visceral organ involvement may have varied symptoms. Dysphagia is common because the motility of the esophagus is affected. Pulmonary involvement can lead to exertional dyspnea due to impaired gas exchange and right-sided heart failure due to pulmonary hypertension. Skin manifestations include telangiectasias. Facial skin tightening leads to a pursed-lip appearance.
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You are doing discharge teaching with a patient diagnosed with heart failure. What would you teach this patient to do to assess fluid balance?
A) Monitor blood pressure B) Assess radial pulses C) Monitor weight daily D) Monitor bowel movements
Which factor will most strongly influence the ability of the nurse to effect a change in the
documentation policy of a health care agency? A) Knowledge of the problem B) Involvement with decision makers C) Good interpersonal skills D) Innovative ideas
The pregnant client who is at 14 weeks' gestation asks the nurse why the doctor used to call her baby an embryo, and now calls it a fetus. What is the best answer to this question?
1. "A fetus is the term used from the ninth week of gestation and onward." 2. "We call a baby a fetus when it is larger than an embryo." 3. "An embryo is a baby from conception until the eighth week." 4. "The official term for a baby in utero is really zygote."
The physician orders a potassium channel blocker for a client. Which medication would the nurse anticipate the physician to order?
1. Amiodarone (Cordarone) 2. Disopyramide (Norpace) 3. Lidocaine (Xylocaine) 4. Mexiletine (Mexitil)