While assessing a client for the dorsalis pedis pulse, the nurse documents the reading as I+. Which conclusion can be inferred from this finding? There is absence of a pulse. The pulse strength is normal. The pulse strength is bounding. The pulse strength is barely palpable.
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While assessing a client for the dorsalis pedis pulse, the nurse documents the reading as I+. Which conclusion can be inferred from this finding?
- There is absence of a pulse.
- The pulse strength is normal.
- The pulse strength is bounding.
- The pulse strength is barely palpable.
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- The practical nurse (PN) uses an ultrasound stethoscope to auscultate a client's left dorsalis pedis pulse. Where should the PN place the transducer?M.H. is an 80-year-old Caucasian female who is married and lives with her spouse. She presents to your office today with her spouse, feeling “coocoo, I just don’t feel right.” Currently she is taking rosuvastatin prescribed by her cardiologist for hyperlipidemia and a daily 325 mg aspirin. She drinks 3–6 hard liquor drinks a day, 3–4 times a week in the evening, and has a 65-year smoking habit, currently smoking two packs per day (ppd). She has no known allergies. Past surgical history includes hysterectomy for a benign fibroid. Family history of breast cancer in three sisters, Type 2 diabetes and CVA in one sister, cancer of unknown origin in one brother. All siblings and parents are deceased. Her husband reports that she is hard of hearing. He feels that it is due to cerumen build-up in her ears. She refuses to have the buildup removed. Her husband is also worried about her memory—states that she “just does not remember things like she used to. She keeps asking me the same questions…For a patient receiving a vasoactive drug such as intravenous dopamine, which action by the nurse is most appropriate? a) Monitor the gravity drip infusion closely, and adjust as needed. b) Assess the patient’s cardiac function by checking the radial pulse. c) Assess the intravenous site hourly for possible infiltration. d) Administer the drug by intravenous boluses according to the patient’s blood pressure
- Name two conditions for which cardiac rehab is prescribedDuring the routine assessment of a 50-year-old client, the nurse observes that the client has high systolic blood pressure. a. What reasons would the nurse give for the rise in systolic blood pressure in this client? b. What client teaching should a nurse provide to prevent the development of cardiovascular disease in this client?Order: Administer 7.5 mg of haloperidol IM STATAvailable: Haloperidol 5 mg/mLHow much medication will the nurse draw up in the syringe? How quickly does the nurse need to administer this medication?
- A client is prescribed furosemide and digoxin to manage their symptoms associated with heart failure. The nurse understands which of following is true when taking these medications together? Furosemide can cause a loss of potassium, creating a higher risk of digoxin-induced dysrhythmias Furosemide can cause an excess retention of potassium, creating a higher risk of digoxin-induced dysrhythmias. Furosemide can promote loss of potassium and thereby decrease the risk of digoxin-induced dysrhythmias. There is no concern for the concomitant use of these two medications.The nurse asks you to obtain a complete set of vital signs for one of the persons to whom you are assigned. Upon measurement, you determine the following: temperature 38.6°C (101.5°F), heart rate 104 beats/min, respiratory rate 22 breaths/min, and blood pressure 90/60 mm Hg. Which of these vital signs are of concern? What subjective data could be stated by the client? What is your first action after collecting these vital signs?Describe the nurse's role regarding a “do not resuscitate” (DNR) order ?
- What are the considerations for a nurse treating a patient with a spider vein sclerotherapy?For 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 minutesRalph , is 5 months post congestive heart failure (CHF), he is... Ralph , is 5 months post congestive heart failure (CHF), he is confined to a wheel chair due to advanced peripheral neuropathy and foot drop. His care is managed at home by a family nurse practitioner (FNP) who visits once a week and as necessary. On one of her visits, the FNP notes that Ralph has developed a Grade 3 sacral decubitus ulcer, lower extremity edema, and dyspnea while sitting. He is also confused and not oriented to person, place or time. Questions 1. 2. What risk factors for tissue break down are present? Explain in detail, the cellular changes that led to the sacral decubitus, now with necrotic dermal tissue. (Hint: the etiology and pathogenesis of the ulcer from injury to cellular death)