A newborn is suspected of having persistent pulmonary hypertension. The nurse would expect to prepare the newborn for which of the following to confirm the suspicion?
A) Chest x-ray
B) Blood cultures
C) Echocardiogram
D) Stool for occult blood
C
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The nurse is working with a client whose brother had recently died as a result of a brain aneurism. The client reports spending the days crying or sleeping. The nurse intervenes in this situation to:
1. Encourage the client to stay busy. 2. Help the client focus on other aspects of life. 3. Provide respite from a painful reality. 4. Restore the client to pre-trauma level of functioning.
A client with terminal cancer has signed an advance directive indicating that no parenteral nutrition or hydration will be implemented
For several days the client has refused food and fluids, pushing the caregiver's hands away when attempts are made to feed the client or offer any kind of fluid. The family is considering placing a gastrostomy tube because they feel the client is "starving to death." Which actions by the nurse are appropriate? Select all that apply. A) Take the case to the hospital's ethics committee. B) Honor the client's refusal of parenteral nutrition and hydration. C) Talk to the healthcare provider so the family's wishes can be acted upon. D) Help the family come to terms with the situation. E) Honor the family's wishes and have them sign a consent form.
Your patient is a 36-year-old woman who complains of milky discharge from both her breasts, episodes of headache, and menstrual irregularity. The patient is on no medications
Upon examination, there are no significant findings, and the patient is not pregnant, breastfeeding, or in the postpartum period. It is important to: A. Order prolactin level B. Obtain an MRI of head C. Have the patient keep a menstrual cycle diary D. Refer the patient for mammogram
In analyzing a client's ECG tracing, the nurse observes that not all QRS complexes are preceded by a P wave. What is the nurse's interpretation of this observation?
A. The client has hyperkalemia. B. The client is in ventricular tachycardia. C. One of the chest leads is not making sufficient contact with the skin. D. Ventricular depolarization is being initiated at a site different from atrial depola-rization.