A patient with mitral stenosis exhibits symptoms of a dysrhythmia. Based on the pathophysiology of this disease process, the nurse would expect the patient to exhibit what heart rhythm?
A) Normal sinus rhythm
B) Supraventricular tachycardia
C) Atrial fibrillation
D) Electromechanical dissociation
Ans: C
Feedback: The pulse is weak and often irregular because of atrial fibrillation (caused by the strain on the atrium). A low-pitched, rumbling, diastolic murmur is heard at the apex. The patient experiences atrial dysrthymias. An echocardiogram is used to diagnose mitral stenosis.
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The nurse is caring for a patient who is headed to the operating room for abdominal surgery. Which goal is appropriate for the nursing diagnosis risk for Perioperative positioning injury?
a. Patient will deny numbness or tingling in extremities after surgical procedure. b. Patient will maintain urine output of at least 30 mL/hour during and after surgery. c. Patient will maintain elastic skin turgor as well as moist tongue and mucus membranes. d. Patient will have no emesis and deny nausea following arousal from general anesthesia.
An adolescent client is admitted to the emergency department with a possible urinary tract infection. The nurse asks, "When did you notice that urinating was painful?" Which barrier to communication does this exhibit?
1. Providing false reassurance. 2. Passing judgment. 3. Giving unwanted advice. 4. Using a technical term.
A male client who has a diagnosis of generalized anxiety disorder (GAD) is seen in the emergency room with complaints of chest pain, shortness of breath, and inability to concentrate, along with feelings of overwhelming anxiety
The nurse uses Maslow's theory to triage the client's complaints, knowing that which complaint must be addressed first? a. Inability to concentrate b. Shortness of breath c. Overwhelming anxiety d. Chest pain
An institutional review board (IRB) ensures that (1) the rights and welfare of the individuals involved were protected, (2) the appropriate methods were used to secure informed consent,
and (3) the potential benefits of the investigation were greater than the risks. Which of the following is an example of how an IRB determines the level of potential risk? a. It requires the researcher to provide a list of potential benefits to the clients, as well as the results of a pilot study verifying this. b. It compels the researcher to disclose his consenting process. c. It provides for a supervisor from the IRB to be present for all data collection. d. It reviews the researcher's description of the study's potential risks and compares them with everyday risk.