The nurse is caring for a patient who has a valvular problem. The patient states the doctor is ordering something that measures the pressures in the patient's heart. The nurse anticipates scheduling an appointment for which of the following?
a. Chest radiograph
b. Cardiac catheterization
c. Echocardiogram
d. Electrocardiogram
ANS: B
Cardiac catheterization measures cardiac pressure and, with dye injection, shows blood flow.
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While the nurse is demonstrating a baby bath, the client states, "The other nurse told me to do it a different way." The nurse should:
a. tell her to do the procedure whichever way works best for her. b. tell her the other nurse does not have much experience in caring for newborns. c. reassure her that procedures are based on standard principles and may vary. d. confront the other nurse about her knowledge of the procedure.
The nurse is caring for a patient with schizophrenia who is recovering from open abdominal surgery. The nurse observes the patient grimacing and guarding his abdomen. From the information provided, what priority nursing diagnosis will the nurse formulate
1. Disturbed thought processes due to surgery, evidenced by tachycardia and tachypnea. 2. Acute pain due to surgery, evidenced by facial grimacing, tachycardia, and tachypnea. 3. Acute pain caused by surgery, manifested by facial grimacing, tachycardia, and tachypnea. 4. Disturbed thought processes caused by schizophrenia, manifested by tachycardia and tachypnea.
Mr. Thin is a 5 foot 8 inch, 79 year old male with a history of hyperlipidemia. Which of the following risk factors does not fit with his diagnosis?
a. he drinks four glasses of Jack Daniels per day b. history of hypertension c. smokes 1 pack of cigarettes per day d. weight of 125 pounds
An older patient wakes up from sleep, confused, and insists a family member is in the other room. What information within the patient's medical record should the nurse consider as a source of the patient's confusion?
1. The patient is elderly. 2. The patient's spouse recently died. 3. The patient received pain medication. 4. The patient has a history of cardiac disease.