Which of the following contribute to a higher risk for myocardial ischemia in an older patient? (Select all that apply.)
a. Increased diastolic filling pressures
b. Decreased intracellular free calcium
c. Thinning left ventricular wall thickness
d. Increased myocardial collagen content
e. Increased myocardial oxygen consumption
A, D, E
Increased myocardial collagen leads to decreased compliance.
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A seven-year-old child has been seen in the pediatric clinic three times in the last two months for complaints of abdominal pain. On each occasion, the physical exam and all ordered lab work have been normal
The most important information to assess at this time would be: 1. The child's normal eating habits. 2. Recent viral illnesses or other infectious symptoms. 3. Review of the child's immunization history. 4. Changes in school or home life.
Which concept of stress should the nurse apply when planning care for the patient with inflammatory bowel disease?
A) Stress may cause increased gastric emptying time. B) Stress may increase catecholamine production. C) Stress may reduce sympathetic responsiveness. D) Stress exacerbates the hypothalamic-pituitary-adrenal (HPA) response.
During an assessment, the patient asks why the nurse is "feeling her armpit." How should the nurse respond?
Select all that apply. 1. "I'm counting the ribs." 2. "Don't you feel your own armpits?" 3. "Breast tissue extends into this area." 4. "I'm assessing hair distribution in this area." 5. "The armpits should be part of a breast self-exam."
The pediatric nurse caring for a patient with gigantism knows that the focus of nursing care should be:
Select all answers that apply. A) prevention of complications. B) accurate assessment of growth. C) assessment of laboratory values. D) administration of medications.