Clients with stenosed heart valves will have problems with __________ flow of blood, and those with regurgitant incompetent heart valves will have problems with _________ flow of blood
1. Forward; backward
2. Forward; forward
3. Backward; forward
4. Backward; backward
Forward; backward
Rationale: A stenotic valve has a narrowed orifice that does not allow blood to flow normally into the next chamber. A regurgitant valve does not close properly; therefore blood backs up into the previous chamber. Both conditions decrease cardiac output.
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The implementation of an electronic health record could enhance patient care by facilitating ____
a. Communication across the health care continuum b. Diabetes mellitus education and ongoing care delivery c. One-on-one counseling between the provider and the client d. Physical and occupational therapy dispensing errors
Ketones are produced when insufficient _____ is available and the body has to metabolize _____ for energy
a. carbohydrate; fat b. fat; carbohydrate c. carbohydrate; protein d. protein; carbohydrate
The nurse is planning care for a client who had a cesarean birth four hours ago. Which of the following should be included in this client's plan of care? (Select all that apply.)
1. Administer analgesics as prescribed. 2. Encourage to ambulate to the bathroom to void. 3. Encourage leg exercises every 2 hours. 4. Encourage deep breathing and coughing every 2 to 4 hours. 5. Encourage the use of breathing, relaxation, and distraction.
The nursing home administrator for a skilled nursing facility is concerned because a large number of older residents are developing UTIs. What should the staff nurse explain about the development of UTIs in this population? (Select all that apply.)
a. Overuse of antibiotics b. Diminished immune function c. Enlarged prostate in older men d. Presence of neurogenic bladder e. Decline in estrogen in older women