Which client symptom change would most likely indicate, to the nurse, a progression of mitral stenosis?
A) Decreased systolic pressure
B) Increased systolic pressure
C) Widening pulse pressure
D) Normal diastolic pressure
A
Feedback:
As mitral stenosis progresses, the systolic blood pressure will decrease due to the reduction of the cardiac output. Widening pulse pressure with normal diastolic pressure is associated more with aortic regurgitation.
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A child is experiencing flu-like symptoms with nausea and vomiting. The mother gives the child a dose of promethazine (Phenergan) which she had from her own flu-like symptoms
Which disorder in children will contraindicate the administration of promethazine? A) Chickenpox B) Endocarditis C) Reye's syndrome D) Hypertensive crisis
A Navajo client who is 36 weeks pregnant meets with the tribe's medicine man as well as her physician. The nurse understands this to mean that the client:
A. Is seeking spiritual direction. B. Does not trust her physician. C. Will not adapt to mothering well. D. Is experiencing complications of pregnancy.
A nurse assessing a client for edema documents +4 pitting edema. What condition is commonly noted along with +4 pitting edema?
A) Sacral edema B) Dependent edema C) Anasarca D) Pulmonary edema
A student reads in a chart that a child has been diagnosed with mixed precocious puberty and asks for an explanation. What explanation by the healthcare professional is most accurate?
a. When a child develops some secondary sex characteristics of the opposite sex b. When a child does not develop any identifiable external sex organs c. When early puberty occurs due to multiple, integrated causative effects d. When early puberty has signs of physical and hormonal abnormalities