A pregnant woman in her first trimester is admitted to the CCU after being in a motor vehicle crash. She was in the back seat on the side of the car that was hit. She was wearing a shoulder and lap seat belt and there was not a back-seat airbag
She is complaining of lower abdominal discomfort and has some lower abdominal bruising. Which assessment finding requires immediate follow-up?
A) Lower abdominal discomfort
B) Red blood cells slightly low
C) Sinus tachycardia at 130 bpm
D) Alert and oriented ?3
C
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A number of patients in an acute cardiac care unit of a hospital have diagnoses of impaired cardiac conduction. Which of the following patients is most deserving of immediate medical attention?
A) A 46-year-old man whose cardiac telemetry shows him to be in ventricular tachycardia B) A 69-year-old woman who has entered ventricular fibrillation C) A 60-year-old man with premature ventricular contractions (PVC) and a history of atrial fibrillation D) A 60-year-old woman who has just been diagnosed with a first-degree AV block
The nurse is reading about family development theory and realizes that Duvall's theory is limited because it assumed that:
a. each family unit has a developmental process with expected tasks to be achieved at each developmental stage. b. the healthy family will have achieved specific developmental tasks. c. the nuclear family is the standard by which all other families are assessed. d. the way in which a family achieves tasks of development greatly influence the family's ability to handle subsequent developmental issues.
A patient newly diagnosed with type 2 diabetes has been started on an oral hypoglycemic agent and received instruction on common side effects of the medication
Which of the following would increase the patient's risk of developing hypoglycemia? 1. eating a high-protein diet 2. taking a daily 1-mile walk 3. frequently skipping meals 4. avoiding use of alcohol
The nurse is working the night shift on a surgical unit and is making 4 AM rounds. She notices that the patient's temperature is 96.8° F (36° C), whereas at 4 PM the preceding day, it was 98.6° F (37° C). What should the nurse do?
a. Call the physician immediately to report a possible infection. b. Realize that this is a normal temperature variation. c. Provide another blanket to conserve body temperature. d. Provide medication to lower the temperature further.