A patient is experiencing episodes of chest pain. He smokes one pack of cigarettes per day and has done so for many years
When teaching him about the effect of smoking on the cardiovascular system, the nurse will teach the patient about the effects of nicotine, including which of the following? A) It increases catecholamines to increase heart rate.
B) It diminishes the blood's ability to clot.
C) It increases myocardial contractility of the heart.
D) It increases high-density lipoproteins.
A
Feedback:
Nicotine increases catecholamines to increase heart rate and blood pressure. It increases platelet adhesiveness and aggregation to increase, not decrease, clotting. It decreases myocardial contractility. It does not increase myocardial contractility. It decreases good cholesterol, which is the high-density lipoprotein.
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A teenage girl has recently been diagnosed with systemic lupus erythematosus (SLE). In teaching the girl about her disease, the nurse explains that the teenager needs to avoid which typical teenage activity?
1. Receiving a manicure and a pedicure 2. Daily hair shampoos 3. Using a tanning bed 4. Attending late night parties and dances
In the ICU, the nurse hears an emergency cardiac monitor go off. The nurse looks at the telemetry and notices the patient has gone into ventricular tachycardia. The nurse will likely assess for signs/symptoms of
A) development of hypertension with BP 190/98. B) oxygen deprivation with O2 saturation decreasing to approximately 90%. C) decreasing cardiac output due to less ventricular filling time. D) increasing cardiac index by correlating the volume of blood pumped by the heart with an individual's body surface area.
Which of the following reasons would explain why a nurse would inappropriately cluster data?
a. The nurse relies on the NANDA-approved list of nursing diagnoses. b. The nurse lacks sufficient theoretical and clinical expertise and knowledge. c. The nurse uses a standardized assessment tool to collect data. d. The nurse groups data cues that relate to each other.
Which of the following is an appropriately written goal?
1. Client will ambulate 10 feet with walker in 10 days. 2. Client will not soil self. 3. Client will express feelings of grief. 4. Client will deny pain.