When caring for a pregnant woman with cardiac problems, the nurse must be alert for signs and symptoms of cardiac decompensation, which are:
1. a regular heart rate and hypertension.
2. an increased urinary output, tachycardia, and dry cough.
3. shortness of breath, bradycardia, and hypertension.
4. dyspnea, crackles, and an irregular, weak pulse.
4
1. Incorrect. These symptoms are not generally associated with cardiac decompensation.
2. Incorrect. Of these symptoms, only tachycardia is indicative of cardiac decompensation.
3. Incorrect. Of these symptoms, only shortness of breath is indicative of cardiac decom-pensation.
4. Correct. Dyspnea, crackles, and irregular weak, rapid pulse, rapid respirations, moist frequent cough, generalized edema, increasing fatigue, and cyanosis of lips and nailbeds are signs of cardiac decompensation.
You might also like to view...
A nurse hopes to improve time management skills using the ABC prioritization approach. Which tasks would be prioritized as "B"? (Select all that apply.)
a. Turn in time sheet due in 3 days. b. Review dress code policy to give feedback before appointment in the morning. c. Perform blood glucose test on a patient admitted with Kussmaul respirations and change in level of consciousness. d. Complete patient teaching prior to discharge in 2 hours. e. Review procedure for inserting a PIC line to assist with procedure later this morning.
The nurse researcher is conducting a needs assessment to estimate the needs of a cardiac support group. What does a needs assessment often use?
A) Behavioral objectives B) Stopping rules C) Key informants D) Cost-benefit analysis
A male client comes to the emergency department complaining of nocturia and nonspecific fullness in the lower pelvic region. What is the best assessment question for the nurse to ask the client?
1. "Are you constipated?" 2. "Are you sexually active?" 3. "How old are you?" 4. "Do you take daily showers?"
Older adult patients produce less sebum and perspire less than younger patients. Therefore when providing personal hygiene the nurse should:
A. use hot water and regular soap. B. use plain water and a soft towel. C. provide a total bed bath every day. D. use warm water and a mild cleansing agent.