The nurse is conducting a head-to-toe assessment of a patient at the beginning of a shift. The nurse has palpated the patient's radial pulse for 1 minute to determine the patient's heart rate and has detected an irregular rhythm
How should the nurse follow-up this assessment finding?
A) Continue to palpate the patient's radial pulse for one more minute in order to gauge the severity of the arrhythmia.
B) Palpate the patient's right and left radial pulses simultaneously to compare the symmetry of the patient's rate and rhythm.
C) Reposition the patient, wait 3 to 5 minutes and then reassess the patient's radial pulse.
D) Auscultate the patient's apical pulse while simultaneously palpating the patient's radial pulse.
D
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An oncology patient will begin a course of chemotherapy and radiation therapy for the treatment of bone metastases. What is one means by which malignant disease processes transfer cells from one place to another?
A) Adhering to primary tumor cells B) Inducing mutation of cells of another organ C) Phagocytizing healthy cells D) Invading healthy host tissues
The patient informs the hospice nurse, "I'm not sold on this hospice thing. I'm not looking for Jesus, I'm just dying." The most therapeutic response by the nurse would be:
a. "Spiritualism is as you define it." b. "Rejecting the spiritual aspect of yourself may not be in your best interest." c. "Hospice service is about how to make your remaining time meaningful." d. "Based on what you say, hospice service may not answer your needs."
The effects of stress can be seen by measurement of clinical changes of the body. This statement is a tenet of which theorist?
a. Freud b. Selye c. Peplau d. Sullivan
Meera experiences premature rupture of obstetrical membranes (PROM), which might lead to the premature birth of her baby during the 32nd week of gestation. Which of the following would be true of this situation?
A. There is a high probability that Meera's baby will have significantly underdeveloped respiratory functions. B. Terbutaline will inhibit uterine contractions but decrease the heart rates of Meera and the fetus. C. Magnesium sulfate will slow Meera's uterine contractions but may increase her heart and respiratory rate. D. Meera can continue smoking cigarettes because it does not have a significant link with PROM.