The nurse is monitoring a patient with aortic stenosis and notes crackles in the lungs and a cough. The nurse would be correct in recognizing that the patient has most likely developed which of these complications?
a. Heart failure
b. Rheumatic fever
c. Pneumonia
d. Hypertension
ANS: A
Heart failure can occur with heart valve disorders. Lung symptoms are indicative of heart failure.
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Family members are visiting a child who is mechanically ventilated and heavily sedated. The parents are visibly distressed. Which statement from the nurse is most appropriate?
A. "Her latest arterial blood gases show compensated acidosis." B. "I'm glad you are here; let me get you some chairs to sit in." C. "She is so heavily sedated that she will not know if you are here or not." D. "You can talk to and touch your child to let her know you are here."
A recently divorced mother who must return to work is concerned about the effects of placing her child in day care full time
In counseling the mother, the nurse knows that the factor that is most influential in determining whether or not day care has a positive or negative effect on the child is 1. the ratio of day-care workers tochildren. 2. the closeness of the parent-childrelationship. 3. the amount of time that the childrenspend playing outside. 4. the cleanliness of the facility.
OBRA requires re-training and/or a new competency evaluation for persons who:
a. Have not worked as a nursing assistant for 24 months b. Were found guilty of abuse or neglect c. Were convicted of a crime d. Did not have good performance evalua-tions
Based on the following outcome criterion determined by the nurse: "Client will independently complete necessary assessments prior to administration of digoxin (cardiotonic)" the nurse will evaluate the client's ability to:
1. Assess the respiratory rate 2. Palpate the radial pulse 3. Review dietary habits 4. Inspect color of the skin