A patient newly diagnosed with heart failure is admitted to the hospital. The nurse notes a pulse of 90 beats per minute. The nurse will observe this patient closely for:
a. decreased urine output.
b. increased blood pressure.
c. jugular vein distension.
d. shortness of breath.
A
As the heart rate increases, ventricular filling decreases, and cardiac output and renal perfusion decrease. Tachycardia does not elevate blood pressure. Jugular vein distension and shortness of breath occur with fluid volume overload.
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The most frequent neurological disorder(s) of adults is/are
A) a head injury. B) seizures. C) cerebrovascular disease. D) subdural hematomas.
A patient comes to the clinic for genetic testing. The nurse asks the patient to sign consent forms to obtain the patient's medical records. The patient wants to know why the geneticist needs their old medical records. What is the nurse's best response?
A) "We always get old medical records just in case we need them." B) "This is just part of the due diligence that we practice here at the clinic." C) "Your medical information is needed so we can provide the appropriate information and counseling to you." D) "We need your medical records in case there is something about your medical history that you forget to tell us."
A 36-year-old male patient is preparing for discharge from the hospital to a rehabilitative facility 4 weeks after he suffered a spinal cord injury (SCI) during a workplace accident
The hospital nurse should be aware that the primary focus of this coming phase of the patient's recovery will be: A) Providing him with the skills to perform as many activities of daily living (ADLs) as possible B) Ensuring that he adheres to the prescribed treatment regimen before being discharged home C) Helping him establish therapeutic relationships with people who have had similar injuries D) Allowing him to receive care in a setting that is less institutional than a hospital
The nurse is preparing for a postpartum home visit. The client has been home for a week, is breastfeeding, and experienced a third-degree perineal tear after vaginal delivery. The nurse should assess the client for which of the following?
1. Dietary intake of fiber and fluids 2. Dietary intake of folic acid and prenatal vitamins 3. Return of hemoglobin and hematocrit levels to baseline 4. Return of protein and albumin to predelivery levels