An older adult patient is admitted to the critical care unit with uncontrolled hypertension. The patient's point of maximal impulse (PMI) is enlarged and displaced laterally. Which is the normal size of the left ventricular impulse (LVI)?
1) <1 cm
2) No greater than 2 cm
3) Between 3 and 4 cm
4) >4 cm
ANS: 2
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A pediatric nurse is caring for a 10-year-old patient on the pediatric unit who has been vomiting upon arising in the morning for the past 2 days. The nurse knows that this symptom is often associated with which condition?
A. Bowel blockage B. Neurological involvement C. Stomach cancer D. Ulcerative colitis
A client with chronic pancreatitis is taking pancreatic enzymes. The client understands the client teaching when the client states:
1. "I will take this medication with food.". 2. "I should take this medication on an empty stomach.". 3. "I take this medication only when my stomach is hurting.". 4. "This medication is monitored by the lab work.".
The patient pregnant with her first child reports that her husband wants her to visit a homeopath for help with her nausea and vomiting. The patient asks what the nurse's opinion of homeopathy is. The best response by the nurse is:
1. "Homeopathy is unproven and potentially dangerous. Avoid using homeopathic remedies." 2. "The FDA has approved homeopathic remedies, and practitioners undergo education and certification." 3. "I can't give you advice about what alternatives to try. Go online and do some research to get information." 4. "Homeopathy is the same as herbal remedies. Some are safe during pregnancy and some are not."
The nurse recognizes that factors associated with aging influence the musculoskeletal system. Which one of the following statements does the nurse recognize as being correct?
a. Older men have a greater problem with osteoporosis. b. Muscle fibres increase in size and become tight. c. Exercise reduces the loss of bone mass. d. Muscle strength does not diminish as much as muscle mass does.