You examine a 65yo man with dilated cardiomyopathy and HF. On exam, you exepect to find all of the following except:
a. JVD
b. tenderness on right upper abdominal quadrant palpation
c. PMI at the 5th intercostal space, mid-clavicular line
d. peripheral edema
Answer: c. PMI at the 5th intercostal space, mid-clavicular line
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A nurse assesses a client recovering from a cystoscopy. Which assessment findings should alert the nurse to urgently contact the health care provider? (Select all that apply.)
a. Decrease in urine output b. Tolerating oral fluids c. Prescription for metformin d. Blood clots present in the urine e. Burning sensation when urinating
The student nurse has a question about the requirements of an upcoming assignment. What should the student nurse do first?
1. Send an email to the instructor. 2. Review the syllabus. 3. Ask a peer for help. 4. Call a nurse on the clinical unit.
A patient, 4 weeks post gastric resection surgery, is experiencing cramping, nausea, and diarrhea within 10 minutes after eating
The nurse suspects that the patent is experiencing "dumping syndrome" and suggests which intervention? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Increase protein in the diet. 2. Lie down for 30 minutes immediately after eating. 3. Eat frequent, small meals. 4. Reduce the amount of carbohydrates eaten daily. 5. Drink a glass of water prior to each meal.
Which nursing intervention is paramount when providing care to a client with preterm labor who has received terbutaline?
a. Assess deep tendon reflexes (DTRs). b. Assess for dyspnea and crackles. c. Assess for bradycardia. d. Assess for hypoglycemia.