Discuss the advantages and disadvantages of IABP counterpulsation use for Mrs Murphy
What will be an ideal response?
Suggested response: Advantages: counterpulsation offloads the left ventricle to enhance systolic unloading, reduces the duration of isovolaemetric contraction phase (less oxygen demand) and increases mean blood pressure through diastolic augmentation. Thus, cardiac workload and myocardial oxygen consumption are reduced and the myocardial oxygen supply and demand imbalance is reversed.
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The nurse is assessing a 5-year-old child's genitourinary system. Which of the following would the nurse document as a normal finding? Select all answers that apply
A) Labial fusion B) Round abdomen C) Positive bowel sounds D) Dullness over the spleen E) Undescended testicles
Action taken to protect the health, safety, and welfare of citizens, such as requiring immuni-zations of children before admission to school, is called what kind of power?
1. Executive 2. Legislative 3. Judicial 4. Police
Which statements by a client treated with epinephrine should the nurse be concerned about? Select all that apply.
A. "I feel jittery." B. "My heart is skipping beats." C. "I have a pounding headache." D. "I am so dizzy." E. "That really hurt when you gave me that med."
When doing routine cleaning of a double-lumen tracheostomy tube, the nurse should include which action?
a. Place the patient supine. b. Reinsert the inner cannula without touch-ing the faceplate of the tracheostomy tube. c. Rinse the inner cannula in a basin of hy-drogen peroxide. d. Clean the inner cannula with a pipe clean-er.