A client is having frequent premature ventricular contractions. A nurse would place priority on assessment of which of the following items?
A. Blood pressure and peripheral perfusion
B. Sensation of palpitations
C. Causative factors such as caffeine
D. Precipitating factors such as infection
Ans: A. Blood pressure and peripheral perfusion
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The rationale for nurses utilizing nursing intervention classifications (NICs) when developing a nursing care plan for a child on the unit is to:
1. Improve communication among nurses working with the child. 2. Assist medical records in documenting care provided for insurance purposes. 3. Aid the nursing supervisor in evaluating the nursing staff. 4. Coordinate medical orders with nursing orders.
Preconception counseling is critical to the outcome of diabetic pregnancies because poor glycemic control before and during early pregnancy is associated with
a. Frequent episodes of maternal hypoglycemia b. Congenital anomalies in the fetus c. Polyhydramnios d. Hyperemesis gravidarum
The nurse assesses the client's lungs to find high-pitched musical sounds on inspiration and expiration. Which does the nurse use to characterize the findings?
1. Rhonchi 2. Wheezes 3. Crackles 4. Friction rub
An IM injection is ordered for a 12-month-old child. The nurse would administer the injection in which of the following sites:
a. Dorsogluteal b. Ventrogluteal c. Vastus lateralis d. Deltoid