Smoking cessation is critical strategy for the client with Buerger’s disease, Nurse Jasmin anticipates that the male client will go home with a prescription for which medication?
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Solution
Nicotine (Nicotrol)
Option D: Nicotine (Nicotrol) is given in controlled and decreasing doses for the management of nicotine withdrawal syndrome.
John suddenly experiences a seizure, and Nurse Gina notice that John exhibits uncontrollable jerking movements. Nurse Gina documents that John experienced which type of seizure?
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Solution
Myoclonic seizure
Option C: Myoclonic seizure is characterized by sudden uncontrollable jerking movements of a single or multiple muscle group.
Nurse Perry is evaluating the renal function of a male client. After documenting urine volume and characteristics, Nurse Perry assesses which signs as the best indicator of renal function.
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Solution
Blood pressure
Option A: Perfusion can be best estimated by blood pressure, which is an indirect reflection of the adequacy of cardiac output.
Kris with a history of chronic infection of the urinary system complains of urinary frequency and burning sensation. To figure out whether the current problem is of renal origin, the nurse should assess whether the client has discomfort or pain in the…
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Solution
Right or left costovertebral angle
Option D: Discomfort or pain is a problem that originates in the kidney. It is felt at the costovertebral angle on the affected side.
Among the following signs and symptoms, which would most likely be present in a client with mitral regurgitation?
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Solution
Exertional Dyspnea
Option B: Weight gain due to retention of fluids and worsening heart failure causes exertional dyspnea in clients with mitral regurgitation.
In reducing the risk of endocarditis, good dental care is an important measure. To promote good dental care in client with mitral stenosis in teaching plan should include proper use of…
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Solution
Manual toothbrush
Option C: The use of electronic toothbrush, irrigation device or dental floss may cause bleeding of gums, allowing bacteria to enter and increasing the risk of endocarditis.
Kate who has undergone mitral valve replacement suddenly experiences continuous bleeding from the surgical incision during postoperative period. Which of the following pharmaceutical agents should Nurse Aiza prepare to administer to Kate?
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Solution
Protamine Sulfate
Option A: Protamine Sulfate is used to prevent continuous bleeding in client who has undergone open heart surgery.
During the first several hours after a cardiac catheterization, it would be most essential for nurse Cherry to…
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Solution
Frequently monitor client’s apical pulse and blood pressure
Option C: Blood pressure is monitored to detect hypotension which may indicate shock or hemorrhage. Apical pulse is taken to detect arrhythmias related to cardiac irritability.
A 64-year-old male client with a long history of cardiovascular problem including hypertension and angina is to be scheduled for cardiac catheterization. During pre-cardiac catheterization teaching, Nurse Cherry should inform the client that the primary purpose of the procedure is…..
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Solution
To visualize the disease process in the coronary arteries
Option B: The lumen of the arteries can be assessed by cardiac catheterization. Angina is usually caused by narrowing of the coronary arteries.
Nurse Liza is assigned to care for a client who has returned to the nursing unit after left nephrectomy. Nurse Liza’s highest priority would be…
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Solution
Hourly urine output
Option A: After nephrectomy, it is necessary to measure urine output hourly. This is done to assess the effectiveness of the remaining kidney also to detect renal failure early.