When a patient is diagnosed with coronary artery disease, the nurse assesses for myocardial:
a. hypertrophy.
b. ischemia.
c. necrosis.
d. inflammation.
ANS: B
Coronary artery disease leads to myocardial ischemia. Coronary artery disease would not lead to hypertrophy, but not to ischemia, necrosis, or inflammation.
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What condition does the nurse suspect when a child with type 1 diabetes mellitus has hyperglycemia, diaphoresis, and headaches in the morning?
a. Dawn phenomenon b. Somogyi phenomenon c. Honeymoon effect d. Ketoacidosis
The physician writes an order for furosemide (Lasix) 120 mg. Each table contains 40 mg. How many tablets would you administer?
1. 3 tablets 2. 4 tablets 3. 3 1/2 tablets 4. 5 tablets
While the nurse at the personality disorders clinic is interviewing a client, the client constantly scans
the environment and frequently interrupts to ask what the nurse means by certain words or phrases. The nurse notes that the client is very sensitive to the nurse's nonverbal behavior. His responses are often argumentative, sarcastic, and hostile. He suggests that he is being hospitalized so "they can exploit me.". The nurse can make the assessment that the client's behaviors are most consistent with the clinical picture of a. paranoid personality disorder. b. histrionic personality disorder. c. avoidant personality disorder. d. narcissistic personality disorder.
A 40-year-old obese woman reports that she wants to lose weight. Which question should the nurse ask first?
a. "What factors led to your obesity?" b. "Which types of food do you like best?" c. "How long have you been overweight?" d. "What kind of activities do you enjoy?"