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The nurse suspects the patient has increased cardiac afterload. Which piece of equipment should the nurse obtain to determine the presence of this condition?

A.

Yankauer suction tip catheter

B.

Blood pressure cuff

C.

Oxygen cannula

D.

Pulse oximeter

Answer and Explanation

The Correct Answer is B

A. A Yankauer suction tip catheter is used for suctioning secretions and does not assess cardiac function or afterload.  

 

B. A blood pressure cuff is essential for measuring blood pressure, which can indicate increased afterload through elevated systemic vascular resistance.  

 

C. An oxygen cannula is used for delivering supplemental oxygen and does not provide information about cardiac afterload.  

 

D. A pulse oximeter measures oxygen saturation, which is not directly related to assessing cardiac afterload.


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View Related questions

Correct Answer is C

Explanation

A. Increased cholesterol levels are not directly related to garlic intake or the effects of warfarin.

B. Distended jugular veins may indicate fluid overload or heart failure but are not a direct concern related to warfarin and garlic interaction.

C. Garlic can enhance the anticoagulant effect of warfarin, increasing the risk of bleeding; therefore, monitoring for signs of bleeding is crucial.

D. Angina is not a direct consequence of the interaction between garlic and warfarin and does not specifically relate to the assessment for this patient.

Correct Answer is A

Explanation

A. Encouraging self-care helps promote independence and functional recovery in stroke patients, supporting rehabilitation and enhancing self-esteem.

B. Bed rest is not recommended as it can contribute to muscle deconditioning and complications associated with immobility.

C. While coordination with therapy is beneficial, gait training is typically handled by physical therapy rather than occupational therapy.

D. Providing a complete bed bath limits the patient’s autonomy; encouraging partial participation supports the patient's involvement in self-care.

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