A patient has a central line that is being used to measure central venous pressure (CVP). Which situation would most likely demonstrate an increase in CVP?
a. Severe hemorrhage
b. Hypovolemia
c. Use of a nasogastric tube
d. Heart failure
d. Heart failure
rationale: Central venous pressure is a measure of the blood pressure found in the large veins that lead to the heart. An increase in central venous pressure may occur for a number of reasons that cause increased fluid accumulation in the bloodstream, including heart failure, hypervolemia and cardiac tamponade.
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In a college health course, the question arose as to when a woman needs to see her health care provider for a Pap smear. Which of the following would be the most appropriate response by the nurse?
a. "After you begin having intercourse or reach age 21, whichever is sooner" b. "Before having sexual intercourse, when you go to obtain your birth control" c. "If your periods change at all, go to see your health care provider." d. "If you have a vaginal discharge that's unusual, go right in for a Pap smear."
Height and weight measurements are essential at every health care visit for clients in all age groups because these measurements:
a. document that basic client evaluation has been done b. provide data related to maturational level c. indicate the need for diagnostic follow-up d. signal possible onset of alterations that may indicate illness
During which client–nurse interaction would the nurse most appropriately use the autocratic leadership style?
A) The nurse is assisting the client to the bathroom when wound dehiscence occurs. B) The nurse is presenting meal options to a resistant diabetic client. C) The nurse is instructing on how to obtain blood glucose readings. D) The nurse is preparing discharge instructions per physician's order.
A nurse is caring for a client with riboflavin deficiency. What signs of riboflavin
deficiency should the nurse monitor for in the client? A) Inflammation of the skin B) Swelling of the gums C) Inflammation of the tongue D) Lesions on the skin