Which signs cause the nurse to suspect cardiac tamponade after a client has cardiac surgery? Check all that apply.
a. Tachycardia
b. Hypertension
c. Increased CVP
d. Increased urine output
e. Jugular vein distention
Answer:
a. Tachycardia
c. Increased CVP
e. Jugular vein distention
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An older homeless patient is admitted to the hospital. The patient has no known family, is unresponsive, and his condition is considered guarded. What should be done to ensure appropriate healthcare decisions are made for this patient?
1. The homeless shelter will provide direction. 2. The patient will be represented by the hospital social worker. 3. The hospital will make decisions for the patient's healthcare. 4. The hospital will ask a judge to appoint a guardian for the patient.
The nurse is assisting a mother to feed her newborn. The newborn has been crying. The nurse suggests that prior to feeding, the mother should:
1. Offer a pacifier. 2. Burp the newborn. 3. Unwrap the newborn. 4. Stroke the newborn's spine and feet.
When a patient recovering from a fractured tibia asks what callus formation is, the nurse tells her it is:
a. when blood vessels of the bone are compressed. b. a part of the bone healing process after a fracture when new bone is being formed over the fracture site. c. the formation of a clot over the fracture site. d. when the hematoma becomes organized and a fibrin meshwork is formed.
Which of the following symptoms would a nurse most expect to identify when assessing a client with bipolar disorder who is in the manic phase?
1. Hallucinations 2. Napping throughout the day 3. Thoughts of inferiority 4. Pressured speech