A patient will be discharged on beta blockers. Which skill is essential for the nurse to teach the patient's family?
a. How to prepare a low-sodium diet
b. Assessments to detect fluid retention
c. How to monitor heart rate and blood pressure
d. Early signs of changing level of consciousness
ANS: C
Because of the action and side effects of beta blockers, heart rate and blood pressure should be monitored frequently.
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At what size is an aortic aneurysm evaluated for surgical repair or stent placement?
a. 2 cm c. 5 cm b. 4 cm d. >5 cm
During a shift assessment, the nurse is assessing the patient's point of maximum impulse (PMI). Where will the nurse best palpate and auscultate the PMI?
A) Left midclavicular line of the chest wall at the seventh intercostal space B) Left midclavicular line of the chest wall at the fifth intercostal space C) Right midclavicular line of the chest wall at the seventh intercostal space D) Right midclavicular line of the chest wall at the fifth intercostal space
The nurse is aware that a delay in language development may be caused by: (Select all that apply.)
a. Hearing loss b. Severe allergies c. Mental retardation d. A learning disability e. An emotional disturbance
Which of the following statements best describe orientation? Select all that apply
1. All new staff in a healthcare organization should attend orientation. 2. Nurse residents do not need orientation, as they are in a residency program. 3. Orientee feedback should be routinely surveyed. 4. Staff transferring to new unit or position do not need orientation. 5. Orientation should be organized and include general and unit specific content and learning activities.