A client is admitted with an enlarged right ventricle. The nurse realizes that this condition could impact which of the following?
1. Electrolyte status
2. Urine output
3. Blood flow to the pulmonary vasculature
4. Appetite
ANS: 3
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A client who was involved in a motor vehicle accident is admitted through the emergency department. He has an IV of 0.9% NS @ 100 mL/hr, BP 92/58, and complains of weakness, fatigue, and abdominal pain
On assessment, the nurse discovers that Mr. Reynolds is nauseated and just vomited 560 milliliters of green emesis with flecks of "coffee grounds." The nurse delegates client care activities to the nursing assistive personnel. Which activity should the nurse keep? A. Taking and recording vital signs every 15 minutes B. Recording accurate intake and output C. Obtaining a baseline weight to guide therapy D. Increasing the IV rate to 250 mL/hr if the blood pressure drops to 85/50
The nurse is preparing to assess a female client's external genitalia. Which structures will the nurse include in this assessment? Select all that apply
1. Vagina. 2. Cervix. 3. Clitoris. 4. Labia majora. 5. Labia minora.
When caring for adolescents, an important role of the pediatric nurse is to conduct a support group session that offers conversations and written materials that provide strength and hope
A) True B) False
The patient is complaining of a severe headache. The physician orders aspirin. Which action by the nurse will result in the fastest relief of the patient's headache?
1. Administer the aspirin with an alkaline food, like cottage cheese. 2. Administer the aspirin in an enteric-coated formulation. 3. Administer the aspirin with a high-fat food, like peanut butter. 4. Administer the aspirin on an empty stomach.