During prenatal care for the pregnant woman with class II heart disease, the nurse should be aware that this patient is most at risk during which time in the pregnancy?
A) First trimester
B) Second trimester
C) Third trimester
D) All are at equal risk
Ans: B
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A patient's ventilator settings are going to be modified to include positive end expiratory pressure (PEEP). What nursing action is most important?
1. Suction the patient before and after the change. 2. Monitor vital signs frequently. 3. Notify the physician of abrupt increases in oxygenation. 4. Monitor breath sounds at least every 15 minutes.
The nurse tells a patient that the functional causes of hypoglycemia include (select all that apply):
1. dumping syndrome. 2. overdose of insulin. 3. Addison's disease. 4. spontaneous hypoglycemia. 5. chronic alcoholism.
During the assessment of a 25-year-old patient with infective endocarditis (IE), the nurse would expect to find
a. substernal chest pressure. b. a new regurgitant murmur. c. a pruritic rash on the chest. d. involuntary muscle movement.
The nurse manager determines that four registered nurses are needed to adequately provide care for 16 clients on the unit during the night shift
Which of the following statements indicate that the nurse manager is utilizing descriptive methodology to determine staffing needs? 1. "I use client data like the average unit census and the average length of stay. I plug these data into a formula and that's how I determine staffing." 2. "I include information that we learned about how long it takes to perform certain nursing tasks to determine staffing needs." 3. "After I take a look at the client acuity levels on the unit, I usually rely on my ‘gut instinct'." 4. "We use information that comes from the nurse supervisors to determine staffing needs based on how we care for clients on our unit."