The nurse explaining blood pressure to a patient instructs that, in a blood pressure of 120/80, the 80 indicates the:
a. pulse pressure.
b. pressure in the relaxed ventricles.
c. relative ejection factor.
d. stroke volume.
B
The diastolic pressure of 80 mm Hg is the reading of the pressure during ventricular relaxation.
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Which action should the nurse take to prevent emotional contagion when working with hospitalized depressed clients? Expect the clients to:
1. Be appreciative of a daily one-to-one session. 2. Be open to working on their problems. 3. Show improvement within 24 hours after admission. 4. Be disinterested in a nurse–client relationship.
The nurse has completed client education about the use of a metered-dose inhaler (MDI) and spacer. Which statement made by the client indicates further teaching is required?
A. "While I depress the canister I will make sure that I inhale slowly." B. "After each use of my metered-dose inhaler (MDI) I will rinse my mouth." C. "It is important that I drink plenty of fluids while I am using the metered-dose inhaler (MDI)." D. "I should keep the spacer moist between uses by storing it in a plastic zip bag."
The client continues to ask questions about a surgical wound, and states, "I think I would like help the first time I look at my wound." This is an example of which of the following?
a. Guided response b. Adaptation c. Perception d. Organizing
Which of the following is the best approach for the nurse to use to assess the presence of thrombosis in an immobilized patient?
a. Measure the calf and thigh diameters. b. Attempt to elicit Homans' sign. c. Palpate the temperature of the feet. d. Observe for a loss of hair and skin turgor in the lower legs.