The client has experienced a myocardial infarction, resulting in damage to the left ventricle. Which of the following does the nurse know the client may experience as a possible complica-tion?
a. Jugular neck vein distension
b. Pulmonary congestion
c. Peripheral edema
d. Liver enlargement
B
Pulmonary congestion may be experienced in left-sided heart failure.
Jugular neck vein distension is characteristic of right-sided heart failure.
Peripheral edema is characteristic of right-sided heart failure.
Hepatomegaly (liver enlargement) is characteristic of right-sided heart failure.
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In the ethical decision-making process, after the identification of alternative options has been established,
a. an outcome for each action must be predicted. b. the team must determine which options to present to the patient or family. c. the choice of one option compromises the option not chosen. d. "no action" is not an option in this step of the decision-making process.
What are the conditions that make up Virchow's triad? Select all that apply
A) Hypercoagulability B) Disruption of the vessel lining C) Hypocoagulability D) Edema E) Venostasis
The implementation step of the nursing process begins with
a. assessment c. implementation b. planning d. evaluation
A coordinated gait involves all of the following except:
A) Heel strike, foot flat, midstance, push off. B) Arms swing in same direction as feet. C) Arms swing in opposition of feet. D) Base of support 2 to 4 inches.