The nurse assesses a client who has received thrombolytic therapy after having a myocardial infarction. Which clinical manifestation indicates to the nurse that reperfusion has been success-ful?
a. ST-segment depression
b. Cessation of diaphoresis
c. Sudden onset of pleuritic chest pain
d. Onset of ventricular dysrhythmias
D
The nurse monitors for the following indications of clot lysis and artery reperfusion: cessation of chest pain, sudden onset of ventricular dysrhythmias, resolution of ST-segment depression, and a peak of markers of myocardial damage at 12 hours. Pleuritic chest pain would not occur. ST-segment depression should not occur owing to reperfusion. The client may become less dia-phoretic as he or she stabilizes, but this is not a classic sign of reperfusion.
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A child who weighs 5.1 lb and measures 20 inches has a BSA of ______________
a. 10 m2 b. 0.32 m2 c. 0.18 m2 d. 0.16 m2
While providing foot care to a client diagnosed with diabetes mellitus, the nurse notes very dry skin. Which action by the nurse is the most appropriate?
1. Apply a pleasantly scented lotion to the foot, using care to rub the lotion in between the toes. 2. Assist the client to soak the feet in warm water twice a day. 3. Instruct the client to avoid the use of lotions and creams. 4. Instruct the client to use a nonscented lotion, avoiding the area between the toes.
The continuous quality improvement (CQI) coordinator is establishing quality measures for a unit
These measures would be written according to which criteria? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. The CQI coordinator has read two research studies that show the process improves client outcomes. 2. The CQI coordinator has evidence that a particular practice is effective in decreasing length of stay. 3. The CQI coordinator has used the process in practice for over 2 years. 4. The process being measured produces a desirable outcome. 5. There are very few unexpected bad effects from the process.
The nurse explains that the mechanism that triggers rate and depth of respiration is based on:
a. ease of respiration. b. alveolar pressure. c. patency of bronchi. d. blood pH.