The nurse is caring for a client with mitral valve stenosis. What clinical manifestation alerts the nurse to the possibility that the client's stenosis has progressed?
a. Oxygen saturation of 92%
b. Dyspnea on exertion
c. Muted systolic murmur
d. Upper extremity weakness
B
Dyspnea on exertion develops as the mitral valvular orifice narrows and pressure in the lungs increases.
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A client who has undergone a nephrolithotomy procedure 24 hours ago now has a fever of 101° F (38.3° C). What is the nurse's priority intervention?
a. Apply a cooling blanket. b. Strain the client's urine. c. Notify the health care provider. d. Document the finding in the client's chart.
The family of a client with a moderate head injury asks if the client's functioning and personality will be the same as before the injury. What is the nurse's best response?
A. "You should expect a full recovery in all ways by the time of discharge." B. "Usually, people with this type of injury return to their baseline within 6 months." C. "Your family member may experience many changes in personality and cognitive abilities." D. "Learning complex new skills may be more difficult; otherwise, you may expect other functions to remain as they were."
A patient diagnosed with schizophrenia reveals to the nurse that voices have warned of danger and adds, "They're so loud they frighten me. Do you hear them?" The nurse's best initial response would be:
a. "I know these voices are very real to you, but I don't hear them.". b. "Don't worry. You're safe in the hospital. I won't let anything happen to you.". c. "Tell me more about the voices. Are they men or women? How many are there?" d. "What do you do in order to keep yourself occupied so you don't hear the voices?"
A middle-school student asks her mom, who is a student nurse, to explain the difference between mitosis and meiosis. Based on this information, what is the best explanation of the difference between mitosis and meiosis?
1 . In mitosis, cells divide into four parts to reproduce themselves. Each of the "daughter and son cells" is unique and differs from the "mother and father" cells. 2 . In meiosis, cell division produces eggs or sperm that contain half the total number of chromosomes. 3 . In mitosis, cells divide into two parts to reproduce themselves. Each of the "daughter cells" is an exact genetic duplicate of the original or "mother" cell. 4 . In meiosis, cell division produces chromosomes for the body's growth, repair, and replacement of injured and dead tissues. A) 1, 2 B) 1, 4 C) 2, 3 D) 3, 4