A nurse is assessing an infant with chronic hypoxia due to tetralogy of Fallot. Which finding does the nurse expect to assess?
a. Polycythemia
b. Pulmonary hypotension
c. Dehydration
d. Anemia
A
The body attempts to improve tissue oxygenation by producing additional red blood cells and thereby increases the oxygen-carrying capacity of the blood. Pulmonary hypertension is a clinical consequence of cyanosis. Dehydration can occur rapidly in cyanotic heart disease. It is not a compensatory mechanism to chronic hypoxia. Anemia may develop as a result of increased blood viscosity.
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A woman who is in the first trimester of her pregnancy has told the nurse, "I've stopped taking my blood pressure pill because I know it could harm the baby. Instead, I've started taking natural and herbal remedies
" What nursing diagnosis is suggested by the woman's statement? A) Deficient knowledge related to drug and herbal effects during pregnancy B) Health-seeking behaviors related to protection of fetal health C) Acute confusion related to the potential teratogenic effects of herbs D) Effective therapeutic regimen management related to use of herbs rather than drugs
While reviewing safety precautions with the staff in a long-term care facility, which step should the nurse emphasize that helps to promote a safe environment for the clients?
A) Keep clutter out of the hallway and inside the client's room. B) Provide dim lighting. C) Turn off alarms to reduce noise. D) Have the client wear rubber skid-resistant slippers.
When choosing a syringe to administer an injection, you would select a standard syringe 3 mL for any
amount over 0.5 mL. Indicate whether the statement is true or false
A client who is concerned about her husband's antisocial behavior asks, "Do you think my son will grow up to be like his father?" The best response is:
A) "Your son will develop his own personality." B) "Boys tend to feel closer to their mothers than to their fathers." C) "Children are observant of their parents and can tell right from wrong." D) "Children who experience the effects of antisocial behavior at home most likely will engage in this behavior as they grow up."