A 79-year-old man has come to the clinic for a routine checkup. He reports general malaise and chronic fatigue, stating "I just can't get out and work in the garden anymore. I really miss it
" The patient has a history of cardiomegaly with a hypertrophied left ventricle. Where would the nurse expect to find the PMI?
A) Between the 4th and the 5th ICS at the MCL
B) Lateral and inferior to the 4th and 5th ICS and the MCL
C) Lateral and superior to the 4th and 5th ICS and the MCL
D) Lower left sternal border
B
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A 56 -year-old man is admitted to the emergency room with an acute attack of diverticulitis. The patient has a temperature of 102 ° F, and has an elevated white count. Which assessment would alert the nurse to impending septic shock?
a. Chest pain b. Seizure c. Tachycardia d. Massive diarrhea
An IV solution originally scheduled to flow at a rate of 3 L in 24 hours is behind schedule. The drop factor for the IV tubing is 20 gtt/mL. Agency policy allows a 25% increase in the base rate if there are no contraindications
Recalculate the gtt/min when this increase is put into effect. _____ a. 53 b. 39 c. 94 d. 156
What is the most effective way for a nurse to help provide support to the patient with an ostomy who has ineffective regimen management?
a. Ask a volunteer from the American Can-cer Society or United Ostomy Association to visit. b. Ask a volunteer from the Reach for Re-covery Society to visit. c. Send a close family member for psychia-tric counseling. d. Obtain humor books pertaining to illness, such as Anatomy of an Illness, or watch several episodes of The Three Stooges on television.
An 80-year-old patient has a normal creatinine level but is showing signs of drug toxicity. Which of the following factors is related to normal creatinine and signs of toxicity?
A) Edema B) Diminished muscle mass C) Increase appetite D) Gastrointestinal impairment