The nurse identifies that a patient is at risk for the development of reoccurring cardiac tamponade when:
1. Fluid or blood continues to accumulate in the pericardial sac.
2. The cause of the tamponade was persistent hypertension.
3. Treatment by needle aspiration of the fluid in the sac is performed.
4. A pericardial window is surgically created.
1
Rationale 1: Unless immediate treatment is initiated, the tamponade will reoccur.
Rationale 2: Cardiac tamponade is not caused by hypertension.
Rationale 3: This is a treatment to repair cardiac tamponade.
Rationale 4: This is a treatment to repair cardiac tamponade.
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The nurse is evaluating the parent's understanding of teaching related to environmental control for their child's asthma management. Which statement by the parents indicates that they understand the teaching?
1. "We're glad the dog can continue to sleep in our child's room." 2. "We'll keep the plants in our child's room dusted." 3. "We'll be sure to use the fireplace often to keep the house warm in the winter." 4. "We will replace the carpet in our child's bedroom with tile."
The functional assessment brings the client's living environment and physical needs together to establish a holistic picture
Indicate whether this statement is true or false.
The nurse contacts the pharmacy to have the antidote for nerve agent poisoning available when victims of a mass casualty event arrive in the emergency department. The agent that the nurse is requesting is:
1. methylprednisolone. 2. acetylcysteine. 3. protamine sulfate. 4. atropine sulfate.
What physical sign does the healthcare professional relate to the result of turbulent blood flow through a vessel?
a. Increased blood pressure during periods of stress b. Bounding pulse felt on palpation c. Cyanosis observed on exertion d. Murmur heard on auscultation