The client with mitral regurgitation is instructed to report to the health care provider when it is becoming too difficult to perform activities of daily living because this is an indication:

1. That it is time for valve replacement.
2. Of infective endocarditis.
3. Of a myocardial infarction.
4. Of acute respiratory distress.


That it is time for valve replacement.

Rationale: The client's ability to perform activities of daily living is used as the indicator of when it is time to replace the valve. The goal is to replace the valve before there is permanent left ventricular damage. Since valves wear out over time, it is essential to wait as long as possible. Ability to perform activities of daily living is not used when assessing for myocardial infarction, infective endocarditis, or respiratory distress.

Nursing

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The nurse explains that the triad of signs of Parkinson disease is: _______, _______ and _______

tremor, rigidity, bradykinesia tremor, bradykinesia, rigidity bradykinesia, tremor, rigidity bradykinesia, rigidity, tremor rigidity, bradykinesia, tremor rigidity, tremor, bradykinesia

Nursing

Paralyzed clients with reflex incontinence can lightly massage or tap the skin above the pubic area, a method known as __________ that stimulates relaxation of the urinary sphincter

Fill in the blank(s) with correct word

Nursing

The nursing manager of a telemetry unit has developed a policy in which all nurses automatically are scheduled to have a day off from work on their birthday unless they request to work on that day. He also gives a small gift to each nurse who becomes certified in his or her specialty area. This manager’s actions are positively affecting the _____ of the unit.

a. climate
b. culture
c. interactions
d. operation

Nursing

Which of the following is most likely to be part of the clinical presentation of an otherwise healthy 27-year-old woman with uncomplicated lower urinary tract infection (UTI)?

A. urinary frequency B. fever C. suprapubic tenderness D. lower gastrointestinal (GI) upset

Nursing