The neonate in the early stage of congestive heart failure may increase their heart rate to compensate for:
a. decreased cardiac output
b. pulmonary edmea
c. redistribution of blood flow
Answer: a. decreased cardiac output
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During a routine nursing assessment of a small child, the nurse palpates a mass in the abdomen. Which of these actions is essential at this time?
a. Ask the parents if they had previously noted the abnormality. b. Assess the mass site for indication of pain. c. Continue the exam, noting the approximate size of the mass boundaries. d. Stop palpation immediately.
A client with multiple sclerosis (MS) experiences muscle weakness and an ataxic gait. Based on these symptoms, the nurse formulates "Impaired physical mobility" as one of the nursing diagnoses applicable to the client
Which of the following nursing interventions should be most appropriate to address the nursing diagnosis? A) Use pressure-relieving devices when the client is in bed or in a wheelchair. B) Change body position every 2 hours. C) Help the client perform range-of-motion (ROM) exercises every 8 hours. D) Use a footboard and trochanter rolls.
A patient is admitted with acute respiratory failure attributable to pneumonia. Smoking history reveals that the patient smoked two packs of cigarettes a day for 25 years, stopping 10 years ago
ABG values on the current ventilator settings are pH, 7.37; PaCO2, 50 mm Hg; and HCO3-, 27 mEq/L. Chest radiograph reveals a large right pleural effusion. Intrapulmonary shunting value of 35% indicates a. normal gas exchange of venous blood. b. an abnormal finding indicative of a shunt-producing disorder. c. a serious and potentially life-threatening condition. d. metabolic alkalosis.
Which principle best describes what the nurse is expected to understand when administering medication to a client?
1. The pharmacotherapeutics for all of the medications 2. The most common side effects of the drug's prototype 3. The trade and generic names for all of the medications 4. The cost of the drug therapy