A patient who has been taking a diuretic for the past 2 weeks now experiences all of the following changes. Which change indicates that the diuretic is effective?
a. Weight loss of 7 lb
b. Heart rate increased from 72 to 80 beats/min
c. Respiratory rate decreased from 20 to 16 breaths/min
d. Morning blood glucose decreased from 142 to 110 mg/dL
ANS: A
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A patient who is on a ventilator has been declared brain dead. A family member asks the nurse how the heart can still function if his father's brain is dead. What statement is an appropriate response by the nurse?
A) "Death of the heart will follow brain death in a few hours." B) "The heart is controlled by the brainstem, not the upper levels of the brain." C) "The cardiovascular center in the medulla would not be reflected in any tests." D) "The heart is self-controlled and does not depend on the brain to beat."
The nurse is assigned to care for a client who has had an open reduction and internal fixation of a fractured right femur 2 days ago
The nurse is listening to the client's lungs and, when moving the gown, observes petechial hemorrhages on the skin of the chest. What is the first action by the nurse? A) Call the physician to inform them of the findings. B) Administer pain medication. C) Request an antihistamine for the allergic reaction. D) Increase the intravenous fluids for hemorrhage.
How should the nurse begin the health interview in order to most effectively build rapport with the patient?
a. Focus on the problems that the patient sees as important. b. Explain the importance of health maintenance. c. Inform the patient of the number of questions that will be asked. d. Reassure the patient that the interview is private.
The nurse is preparing to obtain a sexual history from a male patient. Which question is of the highest importance in this assessment?
1. "Do you engage in same-sex activity?" 2. "Do you have sex frequently?" 3. "Do you enjoy sexual intercourse?" 4. "Do you engage in masturbation?"