The nurse counsels that the patient at the greatest risk for a CVA is a:
1. 20-year-old obese Latin woman on birth control pills.
2. 40-year-old athletic white man with a family history of CVA.
3. 60-year-old Asian woman who smokes occasionally.
4. 65-year-old African-American man with hypertension.
4
Older African-Americans have a higher incidence of CVA than occasional smokers, young, or athletic persons. Hypertension increases the risk.
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As part of the care of a mechanically ventilated patient, the nurse provides oral and subglottic suctioning every 2 hours. What is the best rationale for this nursing action?
A) Stimulates cough and deep breathing B) Reduces pulmonary microbial colonization C) Maintains oral mucosal moisture D) Part of Universal Precautions protocols
A client with stage II cancer has opted to use reflexology and herbal therapy for treatment. The nurse understands this treatment falls under which modality?
A) Culture care B) Complementary therapy C) Integrative therapy D) Alternative therapy
A gravida 2, para 1 client is admitted to the labor and birth unit in labor. She states that she had a cesarean birth with her first pregnancy. The most critical information the nurse must obtain at this point is:
a. the onset of contractions. b. her estimated date of birth. c. when the client ate last and what she consumed. d. the type of uterine incision with the first pregnancy.
A 28-year-old female patient has the following preoperative assessment: type 1 diabetes; no other significant health or family history; no recent surgeries; no use of alcohol, tobacco products, or illegal drugs; medications include insulin and
aspirin. The nurse can anticipate which tests to be performed preoperatively? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Urine pregnancy test 2. Serum glucose 3. Chest X-ray 4. ECG 5. Hemoglobin and hematocrit