A nurse caring for a child with Eisenmenger's syndrome should assess for all of the following except:
1. Fatigue.
2. Acrocyanosis.
3. Shortness of breath.
4. Blood pressure.
2
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1. The child will have increased fatigue due to the lack of oxygen in the body.
2. The child will have cyanosis.
3. The child will demonstrate a shortness of breath because of the lack of oxygen being perfused to the lungs.
4. The blood pressure should be assessed to monitor how the heart is pumping.
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Q.4h
What will be an ideal response?
A woman who is 38 weeks pregnant tells the nurse that the baby has dropped and she is having urinary frequency again. The nurse recognizes this as:
a. lightening. b. Braxton-Hicks contractions. c. initiation of labor. d. engagement.
A menopausal woman tells the nurse that she finds intercourse uncomfortable. What action should the nurse take?
a. Encourage her to abstain from intercourse to prevent trauma to the vagina. b. Recommend the use of water lubricants prior to intercourse. c. Ask to speak with the woman's husband concerning her problem. d. Request that the physician increase the dosage of estrogen replacement.
During a physical assessment, the nurse suspects that the patient might be experiencing metabolic syndrome. Which assessment finding provides evidence for this nurse's assumption?
1. blood pressure 150/96 2. difficulty ambulating 3. low waist-to-hip ratio 4. heart rate 72 and regular