A patient in the CCU has clear evidence of structural heart failure, as he lacks contractility in his left ventricle and his ejection fraction is only 37%. However, he has never shown any signs or symptoms of heart failure
According to the American College of Cardiology (ACC)/American Heart Association (AHA) Guidelines for Stages of Heart Failure, which stage of heart failure best characterizes this patient's condition?
A) Stage A
B) Stage B
C) Stage C
D) Stage D
B
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What statement by an 11-year-old leads the nurse to determine he has moved from the mind set of egocentrism?
a. "I am a member of the best Cub Scout group in the world." b. "I must do my homework before I can play." c. "My dad can do anything!" d. "I'm sorry. I bet that hurt your feelings."
A 21-year-old patient is positioned on the operating room table in preparation for knee surgery. After the anesthesiologist induces the patient, what is the next phase of anesthesia?
A) Induction B) Maintenance C) Recovery D) Medullary paralysis
A client in labor with the fetus in the vertex position has a spontaneous rupture of membranes. The nurse sees that the amniotic fluid is meconium-stained and immediately:
1. Changes the client's position in bed. 2. Notifies the physician that birth is imminent. 3. Administers oxygen at 2 liters per minute. 4. Begins continuous fetal heart rate monitoring.
Which gross motor milestones should the nurse assess in an 18-month-old child? (Select all that apply.)
a. Jumps in place with both feet b. Takes a few steps on tiptoe c. Throws ball overhand without falling d. Pulls and pushes toys e. Stands on one foot momentarily