The nurse is caring for a toddler with large, unrepaired ventricular septal defect and heart failure. Which assessment findings should the nurse expect? A. Hypotension B. Tachycardia C. Pulse oximetry reading within defined limits. D. Blood pressure variance across extremities 45)
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- Which of the following laboratory value does the nurse should monitor on priority, while caring for a patient with a cardiac dysrhythmia. A. Sodium, potassium, and calcium B. PT and INR C. BUN and creatinine D. Hemoglobin and hematocritA client is receiving an intravenous magnesium infusion to correct a serum level of 1.4 mEq/L. Which of the following assessments would alert the nurse to immediately stop the infusion? A. Absent patellar reflex C. Premature ventricular contractions B. Diarrhea D. Increase in blood pressure Rationale: Reference/s:29) During a routine clinic visit, the nurse determines that a 5- year-old girls systolic blood pressure is greater than the 90th percentile. Which action should the nurse implement next? A. Take the blood pressure two more times during the visit and determine the average of the three readings. B. Conduct a head-to-toe assessment and omit repeated blood pressure during the examination. C. Refer child to the healthcare provider and schedule evaluation of blood pressure in two weeks. D. Measure the child's blood pressure three times during the visit and determine the highest of the readings. words 201 Acchool age child procent with now oncat tuna 1 dinhotos English (United States) Accessibility: Investigate MacBook Pro
- The nurse is to administer a medication to a hospitalized client . Which of the following factors should a nurse consider when administering medications to an older adult ? (Select all that apply .) a. Altered peripheral venous tone An increased number of protein -binding sites b. An increased difficulty with the penetration of fat -soluble drugs c. A decline in enzyme production needed for drug metabolism d. An increased gastric emptying time e. A decline in liver functionA nurse is assessing the vital signs of patients who presentedat the emergency department. Based on the knowledge ofage-related variations in normal vital signs, which patientswould the nurse document as having a normal vital sign?Select all that apply.a. A 4-month old infant whose temperature is 38.1°C(100.5°F)b. A 3-year old whose blood pressure is 118/80c. A 9-year old whose temperature is 39°C (102.2°F)d. An adolescent whose pulse rate is 70 bpme. An adult whose respiratory rate is 20 bpmf. A 72-year old whose pulse rate is 42 bpmWhich of the following assessment findings in a client who is receiving atenolol (Tenormin) for angina would be cause for the nurse to hold the drug and contact the provider? (Select all that apply.)a. Heart rate of 50 beats/minuteb. Heart rate of 124 beats/minutec. Blood pressure 86/56d. Blood pressure 156/88e. Tinnitus and vertigoWhy letter A and C are the right answer and why the remaining choices are not applicable to this.
- An older adult arrives at the emergency department with reports of severe nausea and vomiting large amounts of liquid brown emesis at home. The client's vital signs are a temperature of 96.4 'F, heart rate 124 beats/minute, respirations of 16 beats/minute, and blood pressure of 75/38 mmHg. Which intervention is the most important for the nurse to implement? A. Maintain strict intake and output B. Monitor blood glucose level C. Keep the head of the bed 45 degrees D. Assess warmth of extremetiesFor the management of hypertensive crisis, the nurse is aware that the initial goal of treatment includes: a. Decreasing the mean arterial pressure (MAP) by no more than 20-25% b. Decreasing the diastolic blood pressure below 100 as soon as possible c. The use of ACE inhibitors and diuretics to lower blood pressure quickly d. Decreasing the mean arterial pressure (MAP) to 80-100 mmHg within 30 minutesThe nurse is caring for a patient with a bowl obstruction. Which of the following is the earliest indication that the patient is developing symptoms of shock? A. Blood pressure 88/ 50 mmHg B. Pulse 110 beats per minute C. Lethargy D. Urine output 18 ml / hr
- After receiving the third dose of a new oral anticoagulant prescription, Which action should the nurse implement? Select all A. Obtain a soft Bristol toothbrush B. Provide a PRN NSAID for gum discomfort C. Review most recent coagulation lab values D. Complete a medication variance report E. Report findings to healthcare providerTo prevent the incidence of the development of a DVT for a patient after orthopedic surgery, which of the following interventions would the nurse employ? (SATA) A. Maintain strict bed rest with bathroom privileges only. B. Increase oral fluids C. Administer anticoagulant medications as ordered D. Ensure sequential compression devices are in use when patient is non-ambulatory E. Minimize flexing of the lower extremity without a physical therapist presentAn older client is receiving an IV of 0.9% Normal Saline solution at 75 mL/hour. Which finding indicates to the practical nurse that the client may be developing a complication from this therapy? A Episodes of vertigo and loss of balance.B Fatigue and breathlessness upon exertion. C Apical pulse rate of 64 beats/minute. D Average 24-hour urinary output of 1,400 mL.