A client with a history of rheumatic heart disease is being evaluated for mitral stenosis. To identify symptoms that support the diagnosis of mitral stenosis, the nurse should ask which of the following questions?
A)
"How often do you get short of breath?"
B)
"Do you have to urinate often during the night?"
C)
"Have you had a lot of headaches recently?"
D)
"Do you experience numbness or tingling in your extremities?"
A
Explanation:
A)
Dyspnea on exertion is often an early sign of mitral stenosis. The other options would be indicative of mitral stenosis.
Application
Implementation
Physiological Integrity: Physiological Adaptation
B)
Dyspnea on exertion is often an early sign of mitral stenosis. The other options would be indicative of mitral stenosis.
Application
Implementation
Physiological Integrity: Physiological Adaptation
C)
Dyspnea on exertion is often an early sign of mitral stenosis. The other options would be indicative of mitral stenosis.
Application
Implementation
Physiological Integrity: Physiological Adaptation
D)
Dyspnea on exertion is often an early sign of mitral stenosis. The other options would be indicative of mitral stenosis.
Application
Implementation
Physiological Integrity: Physiological Adaptation
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While the nurse is educating a fellow nurse about some new research being developed to treat hepatitis C, specifically to identify disease-related drug targets on the cells, the nurse will be basing these data on which new technology finding?
A) Recombinant DNA technology B) Haplotype mapping C) The human genome project D) Interference RNA (RNAi)
What should the nurse consider about today's healthcare environment when making a decision about purchasing individual professional liability insurance?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. The frequency with which nurses are named in lawsuits has not changed in the last several decades. 2. Obstetrics is the only specialty in which risk of being sued has increased. 3. Having personal insurance does not increase one's risk of suit. 4. Monetary awards in cases where nurses have personal insurance are higher. 5. Most lawsuits are filed against nurses who are not specialized in any particular field.
During the teaching session for a client who recently had a hysterectomy, the client states that she is nervous about taking the estrogen replacement therapy prescribed by her physician
She states that she is worried about developing breast cancer later in life. Which of the statements by the nurses will be most appropriate? 1. "The risk of breast cancer is somewhat increased for women with a family history who opt to take estrogen replacement therapy.". 2. "The risk of breast cancer is not increased for women who have had a hysterectomy and take estrogen replacement medications.". 3. "Perhaps you should consider an estrogen–progestin combination therapy.". 4. "Taking estrogen replacement is not required after a hysterectomy.".
Matching
a. Electrolyte b. Voltmeter c. Chemical d. Ectopic e. Reciprocal changes f. Atrial g. Indicative changes h. Amplitude i. Repolarization j. Supranormal k. Ventricular l. Reentry m. Positive n. Augmented 1. ECG changes observed in leads opposite the affected area of the heart; also called mirror image changes 2. The QRS complex represents _____ depolarization. 3. Each electrode placed in a "V" position is a(n) _____ electrode. 4. Element or compound that breaks into charged particles (ions) when melted or dissolved in water or another solvent 5. An ECG machine is a sophisticated _____. 6. ECG changes observed in leads that look directly at the affected area of the heart 7. The T wave represents ventricular _____. 8. The a in aVR, aVL, and aVF 9. Impulse(s) originating from a source other than the SA node 10. The spread of an impulse through tissue already stimulated by that same impulse 11. Height (voltage) of a waveform on the ECG 12. The P wave represents _____ depolarization. 13. The stimulus that alters the electrical charges across the cell membrane may be electrical, mechanical, or _____. 14. During this period, a weaker than normal stimulus can cause depolarization of cardiac cells.