The nurse who is providing patient teaching related to an elevated homocysteine level informs the patient that elevations in homocysteine increase the patient's risk of:
A) Cardiogenic shock
B) Atrial fibrillation
C) Heart failure
D) Atherosclerosis
Ans: D
Feedback: Homocysteine is linked to the development of atherosclerosis, the underlying disorder in CAD, stroke, and peripheral vascular disease because it can damage the endothelial lining of arteries and promote thrombus formation.
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When assessing a 75-year-old patient who has asthma, the nurse notes that he assumes a tripod position, leaning forward with arms braced on the chair. On the basis of this observation, the nurse should:
a. Assume that the patient is eager and interested in participating in the interview. b. Evaluate the patient for abdominal pain, which may be exacerbated in the sitting position. c. Assume that the patient is having difficulty breathing and assist him to a supine position. d. Recognize that a tripod position is often used when a patient is having respiratory difficulties.
An advantage of using the Q-sort technique is its relative ease of administration
A) True B) False
What is the best method for preventing hospital-acquired infections?
a. Perform good hand washing before and after approaching every patient. b. Prevention is almost impossible due to the high infection rates in hospitals. c. Isolate every patient having surgery. d. Use contact isolation for every patient at risk.
During shift report, the nurse learns that a pt with MG deteriorated toward the end of the shift and the physician was called. A tensilon test indicated the pt was having a myasthenic crisis. What is the priority problem for this pt?
a. potential for inadequate oxygenation b. potential for decreased ability to perform ADLs c. potential for aspiration d. potential for increase in BP, pulse, and respirations