You are preparing the nursing care plan for a middle-aged patient admitted to the intensive care unit for an acute myocardial infarction (heart attack). His symptoms include tachycardia,
palpitations, anxiety, jugular vein distention, and fatigue. Which of the following nursing diagnoses is most appropriate?
1) Decreased Cardiac Output
2) Impaired Tissue Perfusion
3) Impaired Cardiac Contractility
4) Impaired Activity Tolerance
ANS: 1
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A. Explain the process of a workup and its sensitive nature. B. Give written information with a timeline of testing. C. Go over the cost of a workup and insurance coverage. D. Ask the couple if they have considered adoption as an alternative option.
An important consideration for the nurse who is communicating with a very young child is to
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The nurse is assisting a client with paraplegia into a special "neuro chair." What are the advantages/disadvantages of using these devices?
A) They help to alleviate pain. B) They adjust to various positions. C) They provide exercise for the client. D) They are difficult to move from place to place.
A new registered nurse working for a busy unit of an acute care teaching hospital begins her shift with four patients. She needs to prioritize care. Which of the following patients should she attend to first?
A. Patient who needs assistance in ambulating the hall B. Patient whose blood pressure suddenly drops and who passes out C. Recovering surgical patient whose family has just arrived D. Patient who was just diagnosed with cancer and is alone