Which assessment finding would cause the greatest concern in providing nursing care to a client with mitral stenosis?
A) Decreased pulmonary pressure
B) Increased cardiac output
C) Decreased right ventricular pressure
D) Increased left atrial pressure
D
Feedback:
A damaged mitral valve leads to incomplete emptying of the left atrium and accumulation of blood resulting in increased pressure. As the backup of blood continues, pressure is increased into the lungs and right ventricle and cardiac output decreases.
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The nurse should examine the newborn during which behavioral state to obtain the most accurate information? (Select all that apply.)
a. Deep sleep d. Quiet alert b. Light sleep e. Crying c. Drowsy f. Considerable motor activity
What is the purpose of the rectovaginal examination?
A) Palpate the vaginal wall for evidence of a cystocele B) Palpate the vaginal wall for evidence of a rectocele C) Palpate the vaginal wall for evidence of uterine prolapse D) Palpate the vaginal wall for evidence of a urethral caruncle
The client has a medical condition that often results in the development of metabolic acidosis. The nurse should observe this client for the development of which breathing pattern as a result of this condition?
A) Cluster B) Kussmaul's C) Cheyne-Stokes D) Biot's
You have identified that there needs to be a change in procedure for handling the diabetes mellitus community health visits for foot care issues
. Using your knowledge of the change process, what steps have to be visualized? 1. Unfreezing the status quo 2. Changing or moving to a new state 3. Identifying the forces to enforce the status quo 4. Refreezing to sustain the change or changes made A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4