You are caring for a patient with right ventricular failure. What might have caused this diagnosis in your patient?
A) Mitral valve regurgitation
B) Aortic stenosis
C) Aortic regurgitation
D) Mitral valve stenosis
Ans: D
Feedback: Because there is no valve to protect the pulmonary veins from the backward flow of blood from the atrium, the pulmonary circulation becomes congested. As a result, the right ventricle must contract against an abnormally high pulmonary arterial pressure and is subjected to excessive strain. Eventually, the right ventricle fails.
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The nurse is interviewing a client who is in acute pain. Which action by the nurse is the priority?
1. Interview the family for the information. 2. Attempt to reduce the pain and complete the interview later. 3. Proceed very quickly with the interview. 4. Document why the interview could not be completed.
The client is hearing voices and seeing things that are not there. He complains of having no energy and not caring about anything. His physician has diagnosed his problems as schizo-phrenia and has prescribed an
1. antiepileptic. 2. antipsychotic. 3. antidepressant. 4. antianxiety drug.
Which statement best describes the utilitarian decision-making process?
a. The needs of the many outweigh the needs of the few. b. Every individual's needs are provided for regardless of the cost to society. c. The consequences are not important if the best decision is made. d. Decisions are based on social rules, which apply to all similar situations.
When administering medication by IV bolus (push), the nurse will occlude the IV line by which method?
a. Not pinching the IV tubing at all b. Pinching the tubing just above the injection port c. Pinching the tubing just below the injection port d. Pinching the tubing just above the drip chamber of the infusion set