Patients with mitral stenosis may be placed on anticoagulant therapy. The nurse knows that this type of therapy may be instituted to decrease the risk of which of the following?
A) Ventricular hypertrophy
B) Pulmonary embolism
C) Deep vein thrombosis
D) Atrial thrombus
Ans: D
Feedback: Patients with mitral stenosis may benefit from anticoagulants to decrease the risk for developing atrial thrombus. Anticoagulant therapy may be instituted in patient with pulmonary emboli and deep vein thrombosis.
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A patient is being administered phenylephrine in an outpatient clinic. Which of the following conditions requires that phenylephrine be administered cautiously?
A) Cataracts B) Hypothyroidism C) Diabetes mellitus D) Hypertension
The client has a history of rheumatic fever. Which layer of the heart is at the greatest risk for damage due to infection?
A. Epicardium.
B. Pericardium.
C. Myocardium.
D. Endocardium.
During her interactions with a primipara mother, the nurse notices that the mother rarely interacts with the infant unless the infant begins to cry vigorously. She appears relieved when a nurse comes to check on the infant
What is the appropriate nursing intervention for this patient? 1. Ask the mother if she has previous experience caring for babies, and then teach her how to interact appropriately with her infant. 2. Contact Social Services with concerns of neglect. 3. Provide the care the infant needs while continuing to evaluate the mother's actions. 4. Take the infant to the nursery so it can receive more consistent care.
A dehydrated patient is rapidly and aggressively treated with 0.9% sodium chloride IV solution. Which finding would prompt the nurse to stop the infusion and consult the physician?
1. Difficulty breathing 2. Urinary output of 35 ml/hr 3. Diarrhea 4. Increased mental alertness