The apical pulse is measured
A. at the wrist.
B. in the groin area.
C. over the heart.
D. behind the knee.
Answer: C
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The nurse is determining if a recurring client problem could be considered for a nursing diagnosis. The organization that develops and approves nursing diagnoses is the:
a. ANA. b. NANDA. c. AMA. d. TJC.
Breathing techniques used in labor provide: (Select all that apply.)
1. A form of anesthesia. 2. A source of relaxation. 3. An increased ability to cope with contractions. 4. A source of distraction. Correct
A patient in preterm labor is receiving intravenous magnesium sulfate at a rate of 1 gm/hr. The woman reports headache and dizziness. Her blood pressure is 90/60 mm Hg. What will the nurse do?
a. Ask her whether she has a history of myasthenia gravis. b. Expect the development of paralytic ileus. c. Stop the infusion and request an order for a diuretic. d. Tell the patient not to get up without assistance.
A patient newly diagnosed with obstructive sleep apnea (OSA) is afraid of dying while asleep despite the use of continuous positive airway pressure (CPAP). What should the nurse respond to this patient?
1. "It does happen sometimes, but you should be fine with the CPAP." 2. "That is not likely because the CPAP can breathe for you if you stop breathing." 3. "Don't worry, we'll be monitoring your oxygen saturation and we'll wake you up before that happens." 4. "That is not likely, because when your body has is not getting enough oxygen, it sends an awakening alert."