The nurse caring for a client recovering from an abdominal hysterectomy suspects the client is experiencing a pulmonary embolism. Which clinical manifestation supports the nurse's suspicion?
A) Nausea
B) Decreased urine output
C) Dyspnea and shortness of breath
D) Activity intolerance
Answer: C
Manifestations of a pulmonary embolism include dyspnea, shortness of breath, pleuritic chest pain, anxiety, apprehension, cough, tachycardia, tachypnea, crackles, and a low-grade fever. Decreased urine output, activity intolerance and nausea are not clinical manifestations of a pulmonary embolism.
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Which statements would be important for the charge nurse to make when delegating a responsibility? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. "I think it would be important to our organization if you represent the unit on the policy and procedure committee." 2. "I have assigned you to be the unit's representative because I don't have enough time to go." 3. "I think your attendance at the task force meeting will be a good reflection on our unit." 4. "I chose you to attend the meeting because it seems as though you have the lightest assignment." 5. "I would like you to be the unit's representative on the client education task force committee."
What is the mechanism of action for antimigraine agents?
a. Blocking parasympathetic nerve impulses b. Increasing cerebral blood flow c. Constricting dilated cerebral arteries d. Exerting a sympathomimetic effect
The nurse has admitted a new patient to the unit. One of the patient's admitting orders is for an adrenergic medication. The nurse knows that this medication will have what effect on the circulatory system?
A) Thin, watery saliva B) Increased heart rate C) Decreased blood pressure D) Presence of an S3 heart sound
The client states that she has no hearing problems but has some difficulty understanding certain words. What quick screening test could the nurse perform to determine whether the client should be evaluated for a hearing loss?
A. Hold a watch 12 inches from the client's ear and ask whether she can hear the ticking. B. Place a vibrating tuning fork on the top of the client's head and ask in which ear the sound is heard the loudest. C. Ask the client to repeat a short sentence that the nurse has spoken in a normal tone with back turned toward the client. D. Ask the client to repeat the following sentence after the nurse has spoken in a normal tone: "Check and see if Fred or Charles is on third base."