The nurse should anticipate which of the following as the most common complication after an MI?
a. Pulmonary edema
b. Cardiogenic shock
c. Dysrhythmias
d. Deep vein thrombosis
C
Many patients experience complications occurring either early or late in the postinfarction course. These complications may result from electrical dysfunction or from a cardiac contractility problem. Pumping complications can cause heart failure, pulmonary edema, and cardiogenic shock. The presence of a new murmur in a patient with an acute myocardial infarction warrants special attention because it may indicate rupture of the papillary muscle. The murmur can be indicative of severe damage and impending complications such as heart failure and pulmonary edema.
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The nurse who works with the organ donation team explains the definition of death prior to tissue harvesting as being:
1. Absence of reflexes 2. Total lack of response to external stimuli 3. Presence of two EEGs showing no brain activity 4. No voluntary muscular movement
Because moving or ambulation may be painful for the patient, to assist the patient with moving, the nurse should:
a. be supportive. b. apply heat before moving them. c. administer medication before ambulation. d. obtain assistance if the patient is heavy.
The nurse understands that blocks to therapeutic communication include what? (Select all that apply.)
a. Socializing b. Use of silence c. Using clichés d. Defending a situation e. Using open-ended questions
The client is scheduled to be treated with iron supplements in the form of an elixir. The highest priority instruction that the nurse can provide to the client is that a side effect of this form of the medication can be:
a. persistent headache. b. staining of the teeth. c. neck pain. d. gum deterioration.