A patient with congestive heart failure (CHF) presents to the emergency department with muscle spasms in the lower back. Which of the following would not be an appropriate application of heat?
1. Forced-air warming blanket
2. Commercial heat pack
3. Hot compress
4. Heat therapy can never be used safely in a patient with CHF.
ANS: 1
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A nurse is reviewing the care plan for a woman in the third trimester of her first pregnancy. Which action by the patient best indicates positive adaptation to the pregnancy and impending motherhood?
A. Attended three prenatal classes with her partner to learn about labor B. Continues to exercise, maintains a healthy diet, quit smoking recently C. Educated about pregnancy, fetal growth and development, and motherhood D. Has prepared a well-stocked nursery complete with stimulating toys
Secondary glomerulonephritis occurs independently of other chronic conditions
Indicate whether the statement is true or false
The nurse determines that the client's urinary output is 150 ml for 8 hours from the suprapubic catheter. Which does the nurse implement as a follow-up nursing intervention?
1. Encourage coughing and deep breathing. 2. Clamp the urinary catheter for 30 minutes. 3. Collaborate with the provider for a diuretic. 4. Assess client's intake and catheter patency.
The nurse would choose to administer the immunization injection of:
a. DTaP subcutaneously b. HIB intramuscularly c. Varicella intramuscularly d. Varicella 1 week after the MMR vaccine