A patient in the CCU with chronic heart failure experiences shortness of breath even when at rest. When he stands up and walks across the room, his shortness of breath worsens
Which class of heart failure does this patient exhibit, according to the New York Heart Association (NYHA) Functional Classification of Heart Failure?
A) Class I
B) Class II
C) Class III
D) Class IV
D
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A nurse is assessing the skin of an older patient with dry skin and notices several areas of scratches and abrasion. Interventions should be implemented to meet what goal?
A) investigate the possibility of elder abuse B) decrease the risk of infection C) promote safety during daily hygiene D) increase the patient's self-esteem
A 29-year-old patient reporting painful urination and knee pain is diagnosed with reactive arthritis. The nurse will plan to teach the patient about the need for several months of therapy with
a. anakinra (Kineret). b. etanercept (Enbrel). c. doxycycline (Vibramycin). d. methotrexate (Rheumatrex).
Nursing notes should primarily be:
a. objective, as data should reflect what theindividual has said b. objective, as data should reflect what is observed. c. subjective, as data should reflect what is observed. d. subjective, as data should be made without making assumptions.
Which factor if present in a client's lifestyle and health practices assessment would alert the nurse to the need for performing a more thorough head and neck assessment?
A) Alcohol abuse B) Recreational drug use C) Smokeless tobacco use D) Multiple sex partners