In assessing a client's pulses, the nurse finds that the apical pulse exceeds the radial pulse. This is called:
1. Erb's syndrome.
2. pulse deficit.
3. pulsus paradoxus.
4. tachycardia.
ANS: 2
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A nurse is interested in making interdisciplinary work a high priority. Which actions by the nurse best demonstrate this skill? (Select all that apply.)
a. Consults with other disciplines on client care b. Coordinates discharge planning for home safety c. Participates in comprehensive client rounding d. Routinely asks other disciplines about client progress e. Shows the nursing care plans to other disciplines
The question that would be best to ask when the nurse wishes to introduce the topic of the client's
sexual functioning is a. "Have you recently experienced a change in your self-esteem?" b. "Has anything, such as illness, pregnancy, or a health problem, interfered with your role as a wife (or husband)?" c. "Has anything, such as a heart attack or surgery, changed the way you feel about yourself as a man (or woman)?" d. "Has anything, such as surgery or disease, changed your body's ability to function sexually?"
A patient with type 1 diabetes is taking NPH insulin, 30 units every day. A nurse notes that the patient is also taking metoprolol [Lopressor]. What education should the nurse provide to the pa-tient?
a. "Metoprolol has no effect on diabetes mellitus or on your insulin requirements." b. "Metoprolol interferes with the effects of insulin, so you may need to increase your insulin dose." c. "Metoprolol may mask signs of hypogly-cemia, so you need to monitor your blood glucose closely." d. "Metoprolol may potentiate the effects of the insulin, so the dose should be re-duced."
The infant of a diabetic mother presents with signs of low intestinal obstruction. Following contrast studies the infant promptly evacuates the barium and begins passing stool. The most likely diagnosis is
A. Hirschprung's disease b. meconium plug syndrome c. small left colon