The nurse is caring for a patient who has atrial fibrillation. Sequelae that place the patient at greater risk for mortality/morbidity include which of the following? (Select all that apply.)
a. Stroke
b. Ashman beats
c. Pulmonary emboli
d. Prolonged PR interval
e. Decreased cardiac output
A, C, E
One complication of atrial fibrillation is thromboembolism. The blood that collects in the atria is agitated by fibrillation, and normal clotting is accelerated. Small thrombi, called mural thrombi, begin to form along the walls of the atria. These clots may dislodge, resulting in pulmonary embolism or stroke. The ineffectual contraction of the atria results in loss of "atrial kick." If too many impulses conduct to the ventricles, atrial fibrillation with rapid ventricular response may result and compromise cardiac output. Ashman beats are not clinically significant. No recognizable or discernible P waves are present; therefore, PR interval is absent.
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A patient with systemic lupus erythematosus (SLE) is getting ready for discharge. The nurse knows the patient has understood the patient teaching when the patient states she needs to what?
A) Get as much exposure to sunlight as possible to help control skin rashes. B) Be as active as possible between flare-ups. C) Monitor body temperature. D) Stop her corticosteroids when symptoms are relieved.
When elevated BP causes a cardiac abnormality, the term __________ is used
Fill in the blank(s) with correct word
The nurse knows to monitor a client on long-term, high-dose aspirin use for:
a. nausea and skin rash. c. dizziness and sedation. b. excessive thirst and vomiting. d. tinnitus and gastrointestinal bleeding.
You notice that a school health nurse is teaching the children to wash their hands using a nontoxic powder that lights up under a black light
The nurse sprinkles the powder on the children's hands and later shows them by using the black light that they have put these "germs" on their faces and everywhere they have touched. The students wash their hands and see if they made the germs disappear. Which of the following reasons best represents the most important rationale for why the school nurse teaches hand washing by this method instead of giving a talk? a. The glow-powder method is more fun for everyone. b. This method gets the children more active and provides exercise. c. Physically involving the children increases their understanding. d. Most other elementary teachers use the glow-powder method.