A client has undergone pericardiocentesis to treat cardiac tamponade. For which signs should the nurse assess the client to determine whether the tamponade is recurring?
A. Decreasing pulse
B. Rising blood pressure
C. Distant muffled heart sounds
D. Falling central venous pressure (CVP)
Ans: C. Distant muffled heart sounds
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Which of the following advice should a nurse give a client with mastitis?
A) Apply cold soaks to the breast. B) Express milk with a breast pump until infection is resolved. C) Avoid wearing a brassiere. D) Avoid baths or showers regularly.
When caring for a client who has received a mydriatic medication, the nurse should:
a. Instruct the client not to drive until the medication wears off. b. Assess the client for glaucoma and cataracts. c. Instruct the client to keep eyes closed for six hours. d. Encourage the client to wear sunglasses.
The nurse understands that the type of precautions needed for children receiving chemotherapy is based on which action of chemotherapeutic agents?
a. Gastrointestinal upset b. Bone marrow suppression c. Decreased creatinine level d. Alopecia
Why would a nurse be concerned when a community has relatively closed, rigid boundaries?
a. The community does not have an identity. b. The community is probably resistant to change. c. The nurse will not be able to share community resources. d. The nurse may have limited access to the community.