The patient, age 26, is hospitalized with cardiomyopathy. While obtaining a nursing history from her, the nurse recognizes that
the increased incidence of cardiomyopathy in young
adults who have minimal risk factors for cardiovascular disease is related to which factor(s)?
a.
Cocaine use
b.
Viral infections
c.
Vitamin B1 deficiencies
d.
Pregnancy
ANS: A
Cardiomyopathy caused by cocaine abuse is seen more frequently than ever before. Cocaine also causes high circulating levels of catecholamines, which may further damage myocardial cells, leading to ischemic or dilated cardiomyopathy. The cardiomyopathy produced is difficult to treat. Interventions deal mainly with the HF that ensues.
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The nurse is planning the care of a male patient who has been admitted to the medical unit with an exacerbation of chronic pyelonephritis. Which of the following goals should the nurse prioritize in the planning of this patient's nursing care?
A) The patient will consume 3 to 4 L of fluid each day. B) The patient will void every 3 hours. C) The patient will express an understanding of the pathophysiology of pyelonephritis. D) The patient will maintain his preadmission activities of daily living (ADLs).
A patient in her second trimester of pregnancy tells the nurse she is worried that a medication she took before knowing she was pregnant might have harmed the fetus. What will the nurse do?
a. Ask the patient what she took and when she learned she was pregnant. b. Contact the patient's provider to request an ultrasound. c. Counsel the patient to consider termina-tion of the pregnancy. d. Suggest to the patient that she go to a high-risk pregnancy center.
During a staff conflict, one of your nursing peers defends her actions and asserts her own rights among the professional staff. Defending one's actions and asserting one's rights typify the coping mechanism of:
a. emotion or ego focused. b. problem or task focused. c. physiological conversion. d. psychological conversion.
Always put away personal items that have been left out by the patient
Indicate whether the statement is true or false.