While taking a history, a nurse learns that this client experiences shortness of breath (dyspneic). To determine if the cause of the dyspnea is due to a cardiovascular problem, the nurse would expect which abnormal finding on examination?
a. Flat jugular neck veins
b. Red, shiny skin on the legs
c. Weak, thready peripheral pulses
d. Edema of the feet and ankles
ANS: D
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Lipoprotein levels that place an older adult at risk for coronary artery disease include
a. Elevated high-density lipids b. Elevated low-density lipids c. Low total cholesterol d. Low level of plasma triglycerides
A nurse needs to administer a cephalosporin to a patient. The patient informs the nurse that he is allergic to penicillin. Which action by the nurse would be most appropriate?
A) Inform the primary health care provider. B) Obtain the patient's occupational history. C) Administer an antipyretic drug. D) Obtain specimens for kidney function tests.
What is a major premise of family-centered care?
a. The child is the focus of all interventions. b. Nurses are the authorities in the child's care. c. Parents are the experts in caring for their child. d. Decisions are made for the family to reduce stress.
A patient who was admitted with diabetic ketoacidosis secondary to a urinary tract infection has been weaned off an insulin drip 30 minutes ago. The patient reports feeling lightheaded and sweaty. Which action should the nurse take first?
a. Infuse dextrose 50% by slow IV push.
b. Administer 1 mg glucagon subcutaneously.
c. Obtain a glucose reading using a finger stick.
d. Have the patient drink 4 ounces of orange juice.