The nurse explains that hypertension increases the work of the heart because of increasing:

1. preload.
2. stroke volume.
3. contractility.
4. afterload.


4
An increase blood pressure creates an increase in afterload because the heart must work harder to push the blood out of the left ventricle into the circulating volume.

Nursing

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A client with diabetes is hospitalized with recurrent pyelonephritis. The provider orders IV gentamicin (Garamycin) before culture results come back. Which action by the nurse is best?

a. Monitor the client's blood sugar before and after each dose. b. Consult with the pharmacist about the an-tibiotic selection. c. Monitor the client's daily blood urea ni-trogen and creatinine levels. d. Check the client's most recent hemoglobin A1c result.

Nursing

Which intervention in a client with dehydration-induced confusion is most likely to relieve the confusion?

A. Measuring intake and output B. Applying oxygen by mask or nasal cannula C. Increasing the IV flow rate to 250 mL/hour D. Placing the client in a high-Fowler's position

Nursing

The partner of a patient at 16 weeks' gestation accompanies her to the clinic. The partner tells you that the baby just doesn't seem real to him, and he is having a hard time relating to his partner's fatigue and food aversions

Which statement would be best for the nurse to make? 1. "If you would concentrate harder, you'd be aware of the reality of this pregnancy." 2. "My husband had no problem with this. What was your childhood like?" 3. "You might need professional psychological counseling. Ask your physician." 4. "Many men feel this way. Feeling the baby move will help make it real."

Nursing

A 20-year-old pregnant female gives birth to a stillborn child. Autopsy reveals that the fetus has 92 chromosomes. What term may be on the autopsy report to describe this condition?

a. Biploidy b. Triploidy c. Tetraploidy d. Aneuploidy

Nursing