A patient with chronic mitral regurgitation states, "I am always so tired." The nurse recognizes which of the following factors is most likely contributing to the fatigue?
a. Decreased cardiac output
b. Heart murmur
c. Pulmonary congestion
d. Coughing
ANS: A
Decreased cardiac output causes fatigue due to less oxygen being provided to the tissues.
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Your patient has a diagnosis of bladder cancer with metastasis. The patient asks you about hospice. Which principle underlies hospice care?
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The nurse needs to collect a specimen for culture from a patient and realizes that which of the following must be done?
a. The patient should be fasting. b. The specimen should be collected early in the morning. c. The specimen should be collected before antibiotics are started. d. The patient should drink a lot of fluids before the specimen is obtained.
A client whose work schedule is made up of unpredictable hours requests medication to be able to fall asleep quickly, yet be able to safely drive to work after 4 to 6 hours of sleep
Based on speed of onset and speed of elimination, the nurse correctly identifies the MOST appropriate medication for this client to be: a. diazepam (Valium) b. diphenhydramine (Benadryl) c. zaleplon (Sonata) d. zolpidem (Ambien)
A client with thrombocytopenia is being discharged. What information does the nurse incorporate into the teaching plan for this client?
A. "Avoid large crowds." B. "Drink at least 2 liters of fluid per day." C. "Elevate your lower extremities when sitting." D. "Use a soft-bristled toothbrush."