A nurse auscultates the right carotid artery in an elderly client and identifies a bruit. What does this assessment finding mean?
A) It is normal
B) It is distended
C) It is dissecting
D) It is inflamed
Ans: B
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The mother of a 45-year-old patient is a retired physician and requests to discuss the patient's plan of care with the nurse caring for the patient. What is the nurse's best response to this re-quest?
a. "I will need to ask permission from my supervisor before I can share that infor-mation." b. "I will show you the chart, just follow me and we can discuss your questions and concerns." c. "I would suggest that you leave me out of your family problems. I am here to care for the patient." d. "I will have to get the patient's permission before I can share that information."
The nurse is caring for a client requiring mechanical ventilation who is deeply sedated and receiving paralytic medications. Which nursing intervention would assist the client to optimize oxygenation?
1. Hyperventilating the client once an hour 2. Hyperoxygenating the client once an hour 3. Encouraging coughing and deep breathing 4. Frequent repositioning
What dermatological issue is linked to Amiodarone use?
1. Increased risk of basal cell carcinoma 2. Flare up of any prior psoriasis problems 3. Development of plantar warts 4. Progressive change of skin tone toward a blue spectrum
A patient on an orthopedic unit has been prescribed intravenous (IV) diltiazem for atrial fibrillation. What should the nurse do?
a. Continuously monitor the patient's oxygen saturation and pulse during infusion. b. Arrange for the patient to be transferred to a unit where constant monitoring of blood pressure and electrocardiogram is possible. c. Have another nurse check the calculated drip rate before hanging the medication by gravity. d. Move the resuscitation cart into the patient's room.