A nurse in the CCU is caring for a patient with HF who has developed an intracardiac thrombus. This creates a high risk for what sequela?

A) Stroke
B) Myocardial infarction (MI)
C) Hemorrhage
D) Peripheral edema


Ans: A
Feedback:
Intracardiac thrombi can become lodged in the cerebral vasculature, causing stroke. There is no direct risk of MI, hemorrhage, or peripheral edema.

Nursing

You might also like to view...

As the student progresses through the course of study, the clinical experience will

1. Involve assisting with the care of one client. 2. Involve assisting with more clients with more complex illnesses and needs. 3. Involve performing skills for the first time on the client. 4. Involve reading when not busy with the patient assignment.

Nursing

A patient is admitted to the critical care unit with acute respiratory failure secondary to COPD. The patient has a 15-year history of emphysema and bronchitis. On inspection, the nurse observes that the patient is experiencing air trapping

While auscultating the chest, the nurse notes the presence of coarse, rumbling, low-pitched sounds in the right middle and lower lobes. On percussion of the lung fields, a patient with emphysema will predictably exhibit which tone? a. Resonance c. Tympany b. Hyperresonance d. Dullness

Nursing

The psychiatric-mental health nurse is receiving a report on a patient being transferred to the hospital from a local emergency department. What is important for the receiving nurse to remember during this pre-interaction with the patient?

1. Determine the patient's state of mind. 2. Suspend expectations about the patient. 3. Determine how the patient will present. 4. Suspend reflection about the patient's condition.

Nursing

The nurse is teaching a group of parents of school-aged girls with intellectual disabilities. The nurse tells the parents which of the following?

1. The girls need education about STIs, contraception, and routine gynecological checkups. 2. The girls would be better off if they had permanent sterilization. 3. The girls will probably not be sexually active. 4. The girls are not able to understand about contraception and sex.

Nursing