A nurse caring for a patient with coronary artery disease (CAD) hears a murmur during auscultation of the heart. The nurse suspects which complication of CAD?
1. Valvular heart disease
2. Pericarditis
3. Cardiac tamponade
4. Heart failure
1
Rationale 1: Valvular disorders interfere with the smooth flow of blood through the heart. The flow becomes turbulent, causing a murmur, a characteristic manifestation of valvular disease.
Rationale 2: The heart sound characteristic of pericarditis is a pericardial friction rub
Rationale 3: Distant and muffled heart sounds are typical of cardiac tamponade.
Rationale 4: Extra heart sounds S3 and S4 are heard in heart failure.
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The most important factor influencing the survival of a 30-week fetus born prematurely is
a. deficient surfactant levels c. pronounced throm-bocytopenia b. inadequate thermal stimuli d. reduced capillary permeability
The nurse working with clients who seek genetic counseling or testing helps the client and family manage potential psychosocial distress that can accompany test results, including (Select all that apply)
a. disclosure of nonrelatedness. b. disrupted family processes. c. guilt feelings for passing on diseases. d. impairment in self-esteem. e. survivor guilt.
The elderly patient receives levodopa (Larodopa). The nurse is primarily concerned about which problem with this patient?
1. Hypertension 2. Diarrhea 3. Muscle twitching 4. Dark urine
A nurse administering psychotropic medications should be prepared to intervene when giving a drug that blocks the attachment of norepinephrine to alpha1 receptors because the patient may experience:
a. increased psychotic symptoms b. severe appetite disturbance c. orthostatic hypotension d. hypertensive crisis