A critical care nurse must be alert for vascular overload and congestive heart failure in the elderly patient. One reason for this is because
A) older people have greater amounts of pooling in their lower extremities than can be redistributed.
B) there is a severe rise in both systolic and diastolic blood pressure affecting the heart.
C) older patients have increased workload of the heart due to increased vessel compliance.
D) stroke volume and heart rate increase, causing increased risk for congestive heart failure.
A
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A patient is admitted to the hospital for treatment of a stasis ulcer of the right leg. The patient's history indicates he has abused alcohol in the past, and he typically consumes at least eight alcoholic beverages daily
What symptoms should the nurse assess the patient for? A) Confusion, hallucination, agitation, tremors B) Denial, manipulation, combativeness C) Depression, remorse, withdrawal from reality D) Suspicion, mania, stubbornness, fear
In which sequence should the nurse perform a client's abdominal assessment to obtain the MOST accurate data?
a. auscultation, inspection, palpation, percussion b. inspection, auscultation, percussion, palpation c. palpation, inspection, percussion, auscultation d. percussion, palpation, auscultation, inspection
A nurse is caring for a patient who develops dyspnea that does not improve with oxygen therapy and nebulizer treatment. The nurse immediately calls the patient's primary health-care provider. This type of communication is called
1. Upward. 2. Bilateral. 3. Horizontal. 4. Downward.
A novice nurse says, "We want to keep our clients in stage 4 anesthesia during their surgery." How should the supervising nurse interpret this statement?
Standard Text: Select all that apply. 1. The novice nurse has made an error in this statement. 2. Stage 4 anesthesia is avoided. 3. This is a good description of the goal of anesthesia. 4. The novice nurse should have said stage 3 anesthesia. 5. A more accurate statement would be that the client is maintained in anxiolysis anesthesia.