« previous next »

Author Question: While doing the admission assessment for a thin 76-year-old patient, the nurse observes pulsation of ... (Read 68 times)

futuristic

  • Hero Member
  • *****
  • Posts: 638
on: Jun 25, 2018
While doing the admission assessment for a thin 76-year-old patient, the nurse observes pulsation of the abdominal aorta in the epigastric area. Which action should the nurse take?
 
  a. Teach the patient about aneurysms.
  b. Notify the hospital rapid response team.
  c. Instruct the patient to remain on bed rest.
  d. Document the finding in the patient chart.

Question 2

To determine the effects of therapy for a patient who is being treated for heart failure, which la-boratory result will the nurse plan to review?
 
  a. Troponin
  b. Homocysteine (Hcy)
  c. Low-density lipoprotein (LDL)
  d. B-type natriuretic peptide (BNP)


debra928

  • Sr. Member
  • ****
  • Posts: 342
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: D
Visible pulsation of the abdominal aorta is commonly observed in the epigastric area for thin in-dividuals. The nurse should simply document the finding in the admission assessment. Unless there are other abnormal findings (such as a bruit, pain, or hyper/hypotension) associated with the pulsation, the other actions are not necessary.

Answer to Question 2

ANS: D
Increased levels of BNP are a marker for heart failure. The other laboratory results would be used to assess for myocardial infarction (troponin) or risk for coronary artery disease (Hcy and LDL).


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Fungal nail infections account for up to 30% of all skin infections. They affect 5% of the general population—mostly people over the age of 70.

Did you know?

Although puberty usually occurs in the early teenage years, the world's youngest parents were two Chinese children who had their first baby when they were 8 and 9 years of age.

Did you know?

Sperm cells are so tiny that 400 to 500 million (400,000,000–500,000,000) of them fit onto 1 tsp.

Did you know?

Before a vaccine is licensed in the USA, the Food and Drug Administration (FDA) reviews it for safety and effectiveness. The CDC then reviews all studies again, as well as the American Academy of Pediatrics and the American Academy of Family Physicians. Every lot of vaccine is tested before administration to the public, and the FDA regularly inspects vaccine manufacturers' facilities.

Did you know?

In the ancient and medieval periods, dysentery killed about ? of all babies before they reach 12 months of age. The disease was transferred through contaminated drinking water, because there was no way to adequately dispose of sewage, which contaminated the water.

Patient Position for Posterior Percussion Patient Position for Posterior Percussion
Computerized Patient Record (CPR) Computerized Patient Record (CPR)
Positioning the Patient in the Prone Position Positioning the Patient in the Prone Position
A physical therapist exercising the patient’s leg in a physical therapy department. A physical therapist exercising the patient’s leg in a physical therapy department.
Some common eye disorders. (D) Conjunctival hemorrhage of the right eye of this patient with ... Some common eye disorders. (D) Conjunctival hemorrhage of the right eye of this patient with ...
Nitin earns $48,000 per year. Determine his gross earnings for each pay period if he is paid ... Nitin earns $48,000 per year. Determine his gross earnings for each pay period if he is paid ...
Video: Enzyme-Catalyzed Reactions

For a complete list of videos, visit our video library