A nurse is taking the history of a client suspected of having cardiovascular disease. Which past illness in the client's history would alert the nurse to the possibility of an abnormality of the heart valves?
A. A history of infection with Mycobacterium tuberculosis
B. Recurrent viral pneumonia
C. Rheumatic fever
D. Asthma
C
Rheumatic fever is an inflammatory disease that is typically caused by infection with group A beta-hemolytic streptococci. This infection can lead to damage to heart valves.
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Because skin irritation and itching can interfere with normal sleep, the nurse teaches the patient with a pruritic skin disorder to:
A) Take naps when itching is less severe. B) Take a cool bath at bedtime. C) Exercise prior to bedtime. D) Alter bedtime schedule.
The nurse provides intravenous dexamethasone (Decadron) 10 mg to a patient with a metastatic brain tumor
What patient outcomes would indicate that the medication is effective? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Neurologic symptoms improve within 12 hours 2. Reduced intracranial pressure 3. Neurologic symptoms improve immediately 4. Reduced respiratory rate 5. Increased heart rate and blood pressure
A pregnant patient asks, "What's the difference between the true pelvis and the false pelvis?" The nurse's best response is:
1. "The true pelvis doesn't affect fetal passage during labor and childbirth." 2. "The false pelvis consists of the inlet, the pelvic cavity, and the outlet." 3. "The true pelvis helps direct the presenting fetal part into the false pelvis." 4. "The false pelvis helps support the weight of the pregnant uterus."
A client is having a catheter placed in the femoral artery to deliver yttrium-90 beads into a liver tumor. What action by the nurse is most important?
a. Assessing the client's abdomen beforehand b. Ensuring that informed consent is on the chart c. Marking the client's bilateral pedal pulses d. Reviewing client teaching done previously