When auscultating the heart of an elderly client, the nurse detects a soft systolic murmur at the base of the heart. The nurse understands that this is the result of which of the following?
A) Calcification of the aortic and mitral valves
B) Accumulation of amyloid in the pacemaker cells
C) Enlargement of the heart muscle
D) Regurgitation through a stenotic valve
A
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Following an oral glucose tolerance, a 36-year-old mother of four has been diagnosed with gestational diabetes mellitus (GDM), a problem that was not present in any of her previous pregnancies
What should her primary care provider tell her about this new health problem? A) "This diabetes is unlikely to persist after you give birth, but the main risk is that your baby will likely be born with diabetes." B) "Your baby could become too large or have low blood sugars if we're not vigilant about controlling your sugars." C) "We'll monitor this closely and begin insulin therapy as soon as possible." D) "This is likely a result of your liver releasing too much fat, rather than your pancreas not secreting insulin."
The family of an older patient with a terminal illness has been aware of the patient's pending death and is present when the patient dies. The family's reaction to the patient's death was very emotional and demonstrated a state of disbelief. How should the nurse interpret this family's behavior?
1. Irrational behavior 2. Expression of anger 3. Maladaptive coping of the family 4. Normal shock when experiencing the loss of a loved one
A physician writes an order to "force fluids." What will be the first action the nurse will take in implementing this order?
A) Explain to the patient why this is needed. B) Tell the patient and family to increase oral intake. C) Decide how much fluid to increase each 8 hours. D) Divide the intake so the largest amount is at night.
A school nurse is teaching a group of teenagers about the dangers of using "club drugs.". The nurse provides information that which drug may cause a very high body temperature lead-ing to death?
a. GHB b. Rohypnol c. Alcohol d. Ecstasy