A patient is diagnosed with chronic aortic regurgitation. Which procedure should the nurse anticipate being prescribed for this patient?
a. Medication therapy
b. Valvular annuloplasty
c. Valvular commissurotomy
d. Surgical valve replacement
ANS: D
Surgical valve replacement is the treatment of choice prior to heart failure development. Acute aortic regurgitation requires immediate surgery. A. B. C. Medications and valvular annuloplasty or commissurotomy would not be indicated for this patient.
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A female patient, newly diagnosed with gonorrhea, screams, "I am going to kill my husband. I mean it." What is the nurse's best response?
a. "Are you sure it is your husband who gave you gonorrhea?" b. "Yikes! Killing your spouse seems ex-treme." c. "Shall I report your spouse as a sexual contact?" d. "I can understand your anger. How best can you deal with it?"
A patient diagnosed with severe depression exhibits psychomotor retardation and a sense of worthlessness manifested in poor personal hygiene. The patient refuses to shower, stating, "I can't.". The nurse should:
a. not force the issue before a nurse-patient relationship has been established. b. matter-of-factly assist the patient to shower and dress in clean clothes. c. state that the patient will be required to shower the following morning. d. explain that others respond negatively to those with poor hygiene.
When moving or lifting a patient,
A) the patient's body should be straight and properly supported. B) you should only worry about your own body alignment. C) you should wait to move the patient until the patient can help you. D) ask for direction from your supervisor.
Which menu choices for a child who is diagnosed with renal failure and experiencing hyperkalemia indicate the need for further instruction by the nurse?
1. Carrots and green, leafy vegetables 2. Spaghetti and meat sauce with breadsticks 3. Hamburger on a bun and cherry gelatin 4. Chips, cold cuts, and canned foods