Which assessment finding for a client with left ventricular failure who is receiving pulmonary artery pressure (PAP) monitoring indicates a need for rapid action by the nurse?
A. The waveform shows that the catheter is continuously in the wedge position.
B. Pulmonary artery wedge pressure (PAWP) is 12 to 14 mm Hg.
C. The sterile dressing at the catheter insertion site has a bloody area that measures 1 cm.
D. The chest x-ray shows the tip of the catheter in the pulmonary artery.
Ans: A. The waveform shows that the catheter is continuously in the wedge position.
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A patient with multiple sclerosis has been prescribed baclofen (Lioresal) to relax muscles. What should be included in the nurse's teaching about taking this drug? (Select all that apply.)
a. "Do not drive or operate machinery until the effects of the drug on you are known." b. "Avoid crowds while on this medication." c. "Try to prevent constipation by adequate fluid intake, eating fiber-rich foods, and using suppositories occasionally if necessary." d. "Take a calcium supplement while on this medication." e. "Report any shortness of breath or other respiratory problems." f. "Do not eat grapefruit, drink grapefruit juice, or consume other products containing grapefruit."
Written educational materials should be targeted for which reading level for the general adult population?
A) First to third grade B) Fifth to eighth grade C) Tenth to twelfth grade D) Undergraduate level
A pediatric nurse is educating the client with sickle cell disease and the client's family regarding the genetic implications of the disease. Which information is inappropriate for the nurse to share with the client's family?
A) If both parents have the trait, then with each pregnancy, the risk of having a child with the disease is 50%. B) The disorder is transmitted as an autosomal recessive genetic defect. C) The sickle cell gene may have originated to protect against lethal forms of malaria. D) In African-Americans, sickle cell disease occurs in 1 out of every 500 births.
A patient will undergo a colonoscopy, and the provider has ordered sodium phosphate as a bowel cleanser before the procedure
The nurse reviews the patient's chart and notes that the patient's creatinine clearance and blood urea nitrogen are both elevated. What will the nurse do? a. Reduce the amount of fluid given with the laxative to prevent fluid retention. b. Request an order to give polyethylene glycol and electrolytes (PEG-ELS) in-stead. c. Suggest that the patient reduce the dietary sodium intake. d. Suggest using a suppository laxative in-stead.