ANSWER.
* Jugular vein distension when assessing the jugular vein of a patient by
lying the patient at a 45 degree angle,nurse can interpret this as
* An abnormal finding and indicative of increased central venous
pressure.
Then assessing for signs of increased venous pressure, the nurse decides to inspect the jugular veins....
Vital Signs Case Study Mr. Charles Lamont is a 64-year-old patient who is visiting his primary care physician with complaints of vomiting x 3 days and inability to keep anything down. His wife is waiting for him in the lobby. She is hoping that Mr. Lamont will tell the physician about his recent bout of coughing and shortness of breath. He smokes 1½ packs of cigarettes per day. His wife has been encouraging him to stop, but he has not...
424. You are the nurse caring for 82 year old women in the PACU. The woman begins to awaken and responds to her name but is confused, restless and agitated. What are you aware of? A. Postoperative confusion is an indication of an oxygen problem or possibly a stroke during surgery. B. Confusion, restlessness, and agitation are normal postoperative findings and will diminish in time C. Postoperative confusion is common in the elderly, but it could also indicate a significant...
28. A nurse is assisting a physician to remove a chest tube. The nurse should instruct the client to A. Exhale slowly C. stay very still B. Inhale and exhale quickly D. perform the valsava maneuvevr 29. While changing the taping of a tracheostomy tube, the male client coughs and the tube dislodges. The initial action is to A. Call the physician to reinsert the tube B. Call the respiratory therapy department to reinsert the tracheostomy C. Cover the tracheostomy...
11. The nurse is teaching the client regarding use of sodium warfarin. Which statement made by the client would indicate further teaching in required? A. “I will have my blood drawn every month.” B. “I will assess my skin for a rash.” C. “I will take aspiring for my headache.” D. “I will use an electric razor to shave.” 12. If an interpreter is not available when a patient speaks a language different from the nurse’s language, it is appropriate...
c. Kidney stones d. Arthritis in the Emergency Department via ambulance with the 14. A client arrives the left eye, increase left-sided nasolabial fold, and slurred speech e ollowing nurse identify for this client? signs posis increase left-sided nasolabial fold, and slurred speech. What prioriyoof prory level should the What priority level should the a. First level priority b. Second level priority c. Third Level priority d. Routine 15. A nurse assesses four clients. Which client assessment will require the...
please can I have the rationales for the correct answers
324 Quiz 1 Version A 1. Following insertion of a central line, a client begins to have difficulty breathing. The clien, becomes progressively cyanotic and becomes unresponsive. The care team suspects an am embolus that should prompt the nurse to immediately A. Administer a thrombolytic B Place the client on the left side with the clients head down C. Have the client bear down and perform a Valsalva maneuver. D....
420. A 42 year old patient is admitted to the emergency department (ED. following being mugged. The patient received blunt trauma to the face and has clear fluid draining from the right nostril. What does the ED nurse know to assess this fluid for? A. Sodium B. Protein C. Calcium D. Glucose 421. As an asthma educator, you are teaching a patient newly diagnosed with asthma and her family about the use of a peak flow meter. What does a...
431. Which of the following conditions assessed by the nurse would contraindicate the use of benztropine (Cogentin)? A. Neuro malignant syndrome B. Acute extrapyramidal syndrome C. Glaucoma, prostatic hypertrophy D. Parkinson’s disease, atypical tremors 432. The nurse is caring for a post - op colostomy client. The client begins to cry, saying “I’ll never be attractive again with this ugly red thing. “What shoul d the first action taken by the nurse? A. Arrange a consultation with a sex therapist...
tent Add-ins Media Comments Header & 1. The assessment of the cardiovascular system is useful in both expected and unexpected findings. True False 2. Cardiac auscultation areas represent which of the following? a anatomic location of valves and chambers b. an arbitrary designation of pattern for organized auscultation specific locations for best hearing physiological and/or adventitious hear sounds C. 3. What are some of the factors contributing to African Americans experiencing an increased risk for coronary artery disease? Provide at...
1. Oral acetaminophen has been ordered for a young child who has a fever. A liquid form has been obtained by the nurse to increase the chance of problem free administration. Prior to administration, the nurse is going through the rights of medication administration. When confirming the right dose, what term is the most appropriate? a. "160 mg" b. "one teaspoon" c. "one third of a tablespoon d. "SmL 2. A pregnant woman asks why she needs to take a...