After teaching a client about the latest dietary guidelines, the nurse determines that additional teaching is needed when the client states that an intake of which of the following should be reduced?
1. Sodium
2. Monounsaturated fats
3. Refined grains
4. Trans fatty acids
2
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A nurse is working with multiple heart patients in the critical care unit. What information in the patients' charts would indicate intra-aortic balloon pump (IABP) counterpulsation? Select all that apply
A) Cardiogenic shock subsequent to acute myocardial infarction B) Low cardiac output following cardiac surgery C) Unstable angina D) Congestive heart failure and an incompetent aortic valve E) Severe peripheral vascular disease F) Aortic aneurysm
A 3-year-old child is 4 hours post-cardiac catheterization via the right femoral artery. Which assessment finding should the nurse report to the provider?
A. Crying, complaining of pain at site B. Restless, tries to get up repeatedly C. Right pedal pulse weaker than left D. Wants to be held by a parent
Why may intervention research involve the efforts of an entire project team?
a. A multidisciplinary team provides the grounding, objectivity, and world wisdom to judge whether an intervention really has clinical merit. b. Each member of the team carries out a separate research project at a different site, so that the results can be multi-site and more readily generalizable. c. Institutional review boards will not approve intervention projects unless they are backed by an entire team, including representatives from both nursing and medicine. d. It is rare for one person to be imaginative, clinically current, expert at marketing, skilled in statistics, and adept at both quantitative and qualitative research.
A nurse is providing discharge instructions for a client with a history of heart failure. Until a scale is obtained, which of the following instructions would be most helpful if the client does not have a scale at home to weigh on?
1. Wear the same belt in the same location around the waist and alert the physician if the belt becomes tighter. 2. Wear a name band around the wrist to see if it gets tighter. 3. Wear a ball cap every day to determine whether there is an increase in head circumference. 4. Discuss taking extra medication if the client feels there is weight gain.