A nurse is working with multiple heart patients in the critical care unit. What information in the patients' charts would indicate intra-aortic balloon pump (IABP) counterpulsation? Select all that apply
A) Cardiogenic shock subsequent to acute myocardial infarction
B) Low cardiac output following cardiac surgery
C) Unstable angina
D) Congestive heart failure and an incompetent aortic valve
E) Severe peripheral vascular disease
F) Aortic aneurysm
A, B, C
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While performing a well-child assessment on a 5 year old, the nurse notes the presence of palpable, bilateral, cervical, and inguinal lymph nodes. They are approximately 0.5 cm in size, round, mobile, and nontender. The nurse suspects that this child:
a. Has chronic allergies. b. May have an infection. c. Is exhibiting a normal finding for a well child of this age. d. Should be referred for additional evaluation.
The nursing assistive person is taking vital signs and reports that a patient's blood pressure is abnormally low. The nurse should
a. Have the nursing assistive person retake the blood pressure. b. Ignore the report and have it rechecked at the next scheduled time. c. Retake the blood pressure herself and assess the patient's condition. d. Have the nursing assistive person assess the patient's other vital signs.
Which concepts should the nurse include in the discharge instructions for a child who has undergone a hematopoietic stem cell transplantation (HSCT)? Select all that apply
1. Keeping the child on a high-calcium diet 2. Practicing good hand washing 3. Avoiding live plants and fresh vegetables 4. Avoiding influenza vaccinations 5. Returning the child to school within 6 weeks
What term is used to describe the use of a drug when it is not advisable?
a. Contraindication b. Classification c. Indication d. Side effect