What is the most common problem for the patient with valvular heart disease?
a. Reduced cardiac output
b. Difficulty coping
c. Shortness of breath
d. Altered body image
Answer: a. Reduced cardiac output
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The telephone triage nurse receives a call from a parent who states that her 18-month-old is making a crowing sound when he breathes and is hard to wake up. Which is the nurse's priority action?
1. Advise the parent to hang up and call 911. 2. Reassure the parent and provide instructions on home care for the child. 3. Instruct the parent to make an appointment for the child to see the health care provider. 4. Obtain the history of the illness from the parent.
A client is in the family practice clinic. Today the client weighs 186.4 pounds (84.7 kg). Six months ago the client weighed 211.8 pounds (96.2 kg). What action by the nurse is best?
a. Ask the client if the weight loss was intentional. b. Determine if there are food allergies or intolerances. c. Perform a comprehensive nutritional assessment. d. Perform a rapid bedside blood glucose test.
The process of health education closely parallels the nursing process with its discrete phases of assessment, diagnosis, planning, implementation, and evaluation. What activity would the nurse perform during the planning phase of health education?
A) Determining the patient's current knowledge level and willingness to learn B) Identifying the patient's learning needs C) Documenting the goals of the health education D) Demonstrating a necessary technique for the patient
When assessing a patient following an aneurysmal subarachnoid hemorrhage, the nurse should be alert for delayed cerebral ischemia during which time period?
A) In the first 2 hours B) In 3 to 5 days C) In 3 to 14 days D) After 6 weeks