A nurse assessing a 6 year old with cardiomyopathy would anticipate which of the following signs in his assessment? Select all that apply
1. A murmur with a thrill
2. Fatigue when eating
3. Dysrhythmia after playing with toy cars
4. Sweating while sitting in bed watching cartoons
5. Dizziness when standing at the bedside
2, 3, 5
Feedback
1. The murmur will be a gallop.
2. Fatigue occurs with many activities, including eating.
3. Dysrhythmias can occur at any time.
4. Sweating occurs when eating, not during quiet times.
5. Dizziness while standing or changing positions is common.
You might also like to view...
During the final weeks of pregnancy, urinary frequency may return due to the enlarged uterus compressing the bladder against the pelvic bones. The nurse suggests that the patient should:
a. decrease fluid intake. b. use the knee-chest position. c. sleep on her side. d. avoid fluid intake in evening.
The nurse is enlisting the parents' assistance for therapeutic hugging prior to an otoscopic examination. What should the nurse emphasize to the parents?
A) "You will need to keep his hands down and his head still." B) "If this does not work, we will have to apply restraints." C) "If you are not capable of this, let me know so I can get some assistance." D) "I may need you to leave the room if your son will not remain still."
A client relates that the vision in the left eye is greatly decreased from the day before. What does the nurse do first?
a. Assess current medications. b. Patch the left eye. c. Notify the ophthalmologist. d. Perform an in-depth interview.
The client asks the nurse why an ACE inhibitor has been prescribed following an MI. What is the best response by the nurse?
1. "This medication will lower your potassium level." 2. "ACE inhibitors have been found to reduce mortality following MI." 3. "ACE inhibitors are always prescribed with a beta blocker and calcium channel blocker following an MI." 4. "This medication will treat your hypotension."