Which of the following should the nurse anticipate receiving as an as-needed order for a postoperative carotid endarterectomy client?

• A.Nifedipine 10 mg SL for B/P 140/90
• B.Furosemide 20 mg/PO for decreased urine output
• C.Magnesium salicylate to decrease inflammation
• D.Nitroglycerin gr 1/150 for chest pain

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A 28-year-old multigravida has class II heart disease. At her prenatal visit at 34 weeks' gestation, all of the following observations are made. Which would require intervention?

• A.Weight gain of 2 kg in 4 weeks
• B.Blood pressure of 128/78
• C.Subjective data: shortness of breath after showering
• D.Ankle edema reported present in late afternoon and evenings

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A client is started on prednisone 2.5 mg po bid. Which of the following instructions should be included in her discharge teaching specific to this medication?

• A.Increase your oral intake of fluids to at least 4000 mL every day.
• B.Avoid contact with people who have contagious illnesses.
• C.Brush your teeth at least 4 times a day with a firm toothbrush.
• D.Immediately stop taking the prednisone if you feel depressed.

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In addition to changing the mother's position to relieve cord pressure, the nurse may employ the following measure (s) in the event that she observes the cord out of the vagina:

• A.Immediately pour sterile saline on the cord, and repeat this every 15 minutes to prevent drying.
• B.Cover the cord with a wet sponge.
• C.Apply a cord clamp to the exposed cord, and cover with a sterile towel.
• D.Keep the cord warm and moist by continuous applications of warm, sterile saline compresses.

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The health team needs to realize that the compulsive concern with cleanliness that a client with severe anxiety exhibits is most likely an attempt to:

• A.Reduce his anxiety
• B.Avoid going to psychotherapy
• C.Manipulate the health team members
• D.Increase his self-image by showing higher standards than the fellow clients

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