The nurse is assessing a client in the emergency department. Which client statement alerts the nurse to the occurrence of heart failure?
a. "I get short of breath when I climb stairs."
b. "I see halos floating around my head."
c. "I have trouble remembering things."
d. "I have lost weight over the past month."
A
Dyspnea on exertion (DOE) is an early manifestation of heart failure and is associated with an activity such as stair climbing. The other findings are not specific to early occurrence of heart failure.
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Which type of cerebrovascular accident has the slowest rate of recovery and the highest probability of causing extensive neurological deficits?
a. Reversible ischemic neurological deficit (RIND) b. Cerebral aneurysm c. Subarachnoid hemorrhage (SAH) d. Thrombotic stroke
The nurse is instructing a pregnant adolescent client on how the baby's condition is evaluated during labor. The nurse knows the client education was successful when the client states, "During labor, the nurse will:
1. "Check my cervix by doing a pelvic exam every two hours.". 2. "Assess the baby's heart rate with an electronic fetal monitor.". 3. "Look at the color and amount of bloody show that I have.". 4. "Verify that my contractions are strong but not too close together.".
A psychiatric client is given a sedative to produce a calming effect, and instead the client becomes more agitated. What is the term for this medication effect?
A) Medication toxicity B) Potentiation C) Paradoxical effect D) Anaphylaxis
During a health history interview, the nurse learns that a patient is experiencing recent-onset impotence. Which question is most appropriate for the nurse to ask to identify a potential cause of the manifestation?
A. "For what disorders have you been treated in the past? B. "How does your partner feel about this problem?" C. "Does this occur often?" D. "Are you on any medications?