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A nurse is caring for a client with suspected acute coronary syndrome. Which assessment data indicates decreased cardiac output? - dyspnea tachycardia confusion chest pain cold, clammy skin pallor A nurse is caring for a client two days after myocardial infarction. When analyzing the electrocardiogram (ECG) pattern, the nurse analyzes the following: atrial rate 82 bpm and regular ventricular rate 46 bpm and regular P wave and QRS complexes are normal no relationship between P wave an...

1. The patient has an external fixator, what is an appropriate nurisng intervention? a. Make sure the weights don't tough the ground- this is traction no x-fix b. Ensure the patient wears it for at lest 10 hours a day c. Clean pin sites every 6-8 hours d. Tighten the pins 2 turns every shift - c 2. You need to delegate some medicatipn administration to an LPN, what can they do? a. Hang new bag of TPN b. Administer subcutaneous Humalog c. Start blood transfusion d. Administer IV morph...

The nurse is caring for a client diagnosed with torsades de pointes. Which information might the nurse anticipate finding in the client's admission history? (Select all that apply.) - ** Experiencing starvation Massive cardiac muscle damage ** Currently on liquid protein diet ** Taking prescribed diuretics Overdose of cardiac medication RATIONALE: Incidence of torsades de pointes is common in individuals who are on liquid protein diets, experiencing starvation, or taking prescri...

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What are the mechanisms of respiration? - Inspiration and expiration What affects ventilation? - Movement of air in or out, hyperventilation, hypoventilation, lung compliance, lung elasticity and airway resistance What is included in the upper airway? - nasal passages, mouth, pharynx What is the function of the upper airway? - moistens, warms, and filters the air What is included in the lower airway? - trachea, bronchi, bronchioles, and alveoli What is the function of the lower ai...

What is Developmental Stressors? Predicted at various stages of a person's life. Examples of Developmental Stressors? 1) School age children may experience stress at school, family or peers. 2) Middle aged adults must adjust to aging parents and accepting their physical change What is Situational Stressors? They are unpredictable. What is an example Situational Stressors? You cannot predict is you will experience 1)Automobile accidents 2) Natural Disasters 3) Job conflict 4)...

upper airway - - not sterile - nasal passage, mouth, and pharynx - infections: common cold, pharyngitis, influenza, rhinosinusitis lower airway - - sterile - trachea, bronchi, bronchioles - gas exchange - infections: RSV, acute bronchitis, TB, pneumonia ventilation - moving air in and out - adequate ventilation necessary for O2 to blood - body - tissue respiration - gase exchange in lungs - external: CO2 - O2 (in lungs) - internal: O2 - CO2 (in tissue) (capillary - tissue...

A nurse is teaching a client who is starting an excerisce program to calculate his target heart rate. The nurse should include the following instructions A. Challenge himself to exceed the target range for brief periods B. Find the target heart rate by subtracting his age from 200 C. sustain the target range for at least 20 mins - C. sustain the target range for at least 20 mins What is the upper range target heart rate for an 48-year old patient? - 146 A nurse is presenting a prog...

hygiene - Varies between clients health status and cultural practices. bathing/ oral care/ nail care/ foot care/ peri care/ hair care/ shaving Cultural influences on hygiene - Unique hygiene practices.. Be respectful and observant of client's cultural needs Oral care on alert patient - Brushing teeth/ flossing/ mouthwash/ denture care/ Oral care on Altered/ unconscious patient - Make sure Suction is available, place pt. In a sideline position to decrease aspirations. Lemon-glycerin sw...

A nurse is caring for a client who has severe acute respiratory syndrome (SARS). The nurse knows that health care professional are required to report communicable and infectious diseases. Which of the following illustrate the rationale for reporting? (select all the apply) A. Planning and evaluating control and prevention strategies B. Determining public health priorities C. Ensuring proper medical treatment D. Identifying endemic disease E. Monitoring for common-source outbreaks - A...