The nurse notes in a patient's medical record
that nesiritide (Natrecor) has been ordered. Based on this order, the nurse interprets that the patient has which disorder?
a. Atrial fibrillation
b. Acutely decompensated heart failure with dyspnea at rest
c. Systolic heart failure
d. Chronic, stable heart failure
ANS: B
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During an admission assessment, the nurse notices that a male patient has an enlarged and rather thick skull. The nurse suspects acromegaly and would further assess for:
a. Exophthalmos. b. Bowed long bones. c. Coarse facial features. d. Acorn-shaped cranium.
Which of the following lung sounds would be most likely heard in a client experiencing an asthma attack?
a. Coarse rales c. Fine crackles b. Pleural friction rub d. Expiratory wheezes
When the nurse intentionally creates and implements changes to assist the client, the nurse is acting in which role?
a. leader c. change agent b. instigator d. stress manager
Which client does the nurse consider to be at increased risk for infection?
a. Young adult who wears contact lenses b. Adult with type 1 diabetes mellitus c. Adult with known hypersensitivity to la-tex d. Adolescent using analgesics for migraine headaches