During a routine medical exam a client reports feeling odd, with several episodes of chest pressure, shortness of breath, and numbness in both shoulders. The nurse should suspect the client has been experiencing:
a. angina pectoris c. myocardial ischemia
b. cardiac tamponade d. myocarditis
A
Angina pectoris, substernal pain that usually radiates to the left shoulder and down the left arm, is caused by inadequate blood and oxygen supply to the heart. Although some ischemic attacks are painless, attacks of pain can occur with physical exertion, emotional stress, heavy meals, exposure to extreme cold, and smoking, and they usually increase in frequency and severity over time.
You might also like to view...
A soldier has been back from Iraq for two weeks. He is being seen in the outpatient mental health clinic due to complaints of inability to sleep, nightmares, and flashbacks
The nurse would expect the client to be diagnosed with which of the following? A) Generalized anxiety disorder B) Obsessive-compulsive disorder C) Posttraumatic stress disorder D) Social phobia
The nurse is caring for a client with a large leg wound that has been slow to heal. Which action by the nurse is most appropriate?
a. Use Contact Precautions when caring for the client. b. Double-glove when providing wound care. c. Help the client choose high-protein items at meals. d. Assess the client's knowledge of causative factors.
The role of the case manager as coordinator is to
1. Provide information to all parties on the state of the member and situations affecting client 2. Educate client and providers about the case management process so that informed decisions can be make 3. Support all parties to work toward mutual goals 4. Arrange, regulate, and balance needed health services for clients
Research has shown that the most successful smoking cessation programs among teens include (select all that apply):
a. Peer-led education and support. b. Information on the long-term effects of smoking. c. Programs including the media. d. School-based programs. e. Information on the immediate effects of smoking.