While you are waiting for the transplant team to arrive, you are working to maintain C.J.'s
hemodynamic stability. Which of the following parameters would indicate your efforts are
successful?
a. Urine output of 30 mL/hr
b. Cardiac index greater than 2.4 L/min
c. Mean arterial BP is greater than 50 mm Hg
d. Left ventricular ejection fraction greater than 30%
b
Urine output should be a minimum of 1.0 mL/kg/hr; 30 mL/hr is too low and indicates inadequate
renal perfusion. The mean arterial BP needs to be above 60 mm Hg and the left ventricular ejection
fraction 45% or greater to perfuse the cardiac, brain and renal tissue.
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Which meal would the nurse recommend to a client who is iron deficient?
a. 3 ounces chicken, 1 cup of corn, 1 cup lettuce salad, 1 small banana b. 1 cup of spaghetti with tomato sauce, 2 ounces cheese, 1 slice French bread c. 4 ounces roast beef, 1 slice whole grain bread, 1 cup spinach greens, 1 cup milk d. 2 scrambled eggs, 1 English muffin, 1 cup orange juice
A nurse is planning to evaluate an individual's progress toward a health goal. Which of the fol-lowing components should be included in the evaluative process?
a. Type of teaching strategy used b. Recognition of accomplishments in the group c. Conflict that occurred in the group d. The type of leadership in the group
A new mother seemed hesitant to let the community/public health nurse into her apartment. However, the visit seemed to go well, with the nurse sharing information, resources, and positive support to the new mother
At the end of the visit, the mother thanked the nurse profusely but said she thought she was all right now so there was no need for the nurse to return. Which of the following actions would be most appropriate for the nurse to take? a. Chart that the mother was noncompliant and would not let the nurse return. b. Plan on returning in 1 week to answer any new questions the mother might have about her baby, how to care for him, or how infants grow and develop. c. Stress how to get in touch with the public health agency if the mother ever has questions or needs assistance and then wish her the very best. d. Try to find free formula, baby cereal, infant clothes, and other goodies to give the new mother so she will let the nurse back into the apartment.
A patient with chronic obstructive pulmonary disease (COPD) reports having insomnia and a racing heart after starting terbutaline therapy. Which explanation by the nurse is most accurate?
a. "The symptoms are typical and indicate that the medication is at a therapeutic level." b. "The symptoms will tend to resolve with continued therapy." c. "The symptoms are unusual and need to be reported to the health care provider immediately." d. "The symptoms are indicative of toxicity."