A child is in cardiogenic shock and the parents ask why the child has hepatomegaly and periorbital edema. What explanation by the healthcare professional is best?
a. Mass vasodilation as a result of chemical mediators released from the myocardium
b. Low cardiac output and systemic venous congestion
c. Tissue damage to the myocardium, causing increased capillary permeability
d. Reduced renal perfusion, stimulating the RAAS system
Answer: b. Low cardiac output and systemic venous congestion
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While the nurse is performing a physical assessment, the patient begins to cry and states, "I just can't seem to be happy. I thought the reserpine I was prescribed would help my chronic depres-sion and my high blood pressure"
Which of the following is the best nursing response to the pa-tient? a. Explain to the patient that the medication is not indicated for depression; depres-sion is actually a side effect of the medication. The patient should speak to the prescriber about alternative medications. b. Reassure the patient that the medication takes about 3 weeks for full effectiveness to treat both hypertension and depression. c. Explain to the patient that the depression will last only a few days. d. Have a psychiatric consult ordered.
Important aspects of the social history the nurse should include when examining a client are (Select all that apply)
a. alcohol intake. b. food preferences. c. sexual activities. d. use of items contaminated with body fluids. e. use of recreational drugs.
A trauma patient reports pain in his left lower extremity. The nurse notes that the extremity has pallor. Pedal pulses are diminished, and paresthesia is present. What nursing diagnosis might the nurse use?
A) Pain related to decreased blood flow and altered tissue perfusion B) Activity intolerance related to pain and claudication with ambulation C) Altered tissue perfusion, arterial related to reduced blood flow D) Risk for peripheral neurovascular dysfunction
A young adult patient is alienated by others who are offended by the patient's poor hygiene and body odor. Which nursing intervention should occur first for this patient?
a. Assessing the patient's understanding of good hygiene practices b. Assigning the patient a scheduled shower and personal grooming time c. Instructing the patient regarding the need for daily showering and shampooing d. Having two mental health workers shower and dress the patient every morning