The client with Marfan syndrome has developed all of the following new clinical manifesta-tions since his last visit. Which one should be reported to the physician immediately?
A. Dry eyes
B. Heart murmur
C. Swollen left wrist
D. Facial petechiae after vomiting
B
Clients with Marfan syndrome develop cardiac problems, such as a mitral valve prolapse, as the disease progresses. These cardiac problems are the major cause of early death among clients with Marfan syndrome.
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A nurse is completing a focused respiratory assessment of a child with asthma. What assessment finding is most closely associated with the characteristic signs and symptoms of asthma?
A) Shallow respirations B) Increased anterior-posterior (A-P) diameter C) Bilateral wheezes D) Bradypnea
A patient's draining wound is pale and watery with a combination of plasma and red cells. How should the nurse document this finding?
a. Serous drainage b. Purulent drainage c. Sanguineous drainage d. Serosanguineous drainage
A patient with actinic keratoses has received a prescription for fluorouracil (Carac). Which statement by the patient indicates understanding of this medication?
a. "Healing should occur 6 weeks after beginning treatment." b. "I will apply this drug twice daily." c. "Severe inflammation is an indication for stopping treatment." d. "Tissue ulceration and necrosis are desired effects."
The patient with right-sided heart failure will exhibit which of these signs?
A. Perioral cyanosis B. Dependent edema C. Exertional dyspnea D Sleeping in an upright position