An older patient with valvular disease is scheduled for an echocardiogram. What should the nurse teach the patient about this diagnostic test?
1. Determines the risk for metabolic syndrome
2. Analyzes the reasons for high blood pressure
3. Visualizes the heart valves as they open and close
4. Measures the amount of blood flowing through arteries
3
Rationale: An echocardiogram evaluates all heart valve function. This test allows the visualization of the valves as they open and close. Using this test, one can determine valve area, cardiac output, and any regurgitation. It is not used to determine the risk for metabolic syndrome.
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When a patient is given a diagnosis of cancer, his first statement is, "What did I ever do to deserve God punishing me?" What does this exemplify?
a. Maladaptive coping b. Behavioral emotionalism c. Spiritual distress d. Spiritual maladaptation
When assessing a pre-term newborn, the nurse observes yellow discoloration of the newborn's skin. The nurse suspects pathologic jaundice on the basis of which of the following findings?
A) Cord blood bilirubin concentration of 2.5 mg/dL B) Clinical jaundice that persists for more than 5 days C) Serum bilirubin level above 10 mg/dL at any time D) Serum bilirubin increases of 0.1 mg/dL every 4 to 8 hours
The Nurse Practice Act of state X expressly states that blood products may be administered only by physicians, registered nurses, and physician assistants. Under what conditions can an LPN/LVN administer a unit of packed red cells?
a. When a physician orders it b. If the registered nurse delegates it c. If the agency policy allows it d. Never; LPN/LVNs cannot administer packed cells
A homeless family brought their father to the public health clinic after he reported bleeding when he went to the bathroom. Which of the following nursing actions would be most appropriate?
a. Begin tests to determine the cause of the bleeding while asking about other family concerns from nutrition to shelter for the night. b. Refer the man to a urologist to address the urinary bleeding. c. Suggest that the family take him to an urgent care center immediately. d. Treat the urinary infection and give the man medication to take to prevent the return of infection.