Which of the following symptoms is appropriate to ask about in the cardiovascular review of systems?

A 58-year-old teacher presents to your clinic with a complaint of breathlessness with activity. The patient has no chronic conditions and does not take any medications, herbs, or supplements.

A) Abdominal pain
B) Orthopnea
C) Hematochezia
D) Tenesmus


B) Orthopnea

Orthopnea, which is dyspnea that occurs when the patient is lying down and improves when the patient sits up, is part of the cardiovascular review of systems and, if positive, may indicate congestive heart failure.

Nursing

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The transverse imaginary body plane

a. divides front and back (coronal) of the body. b. divides the body lengthwise (two equal halves). c. divides superior and inferior portions of the body. d. divides the body into axial and appendicular.

Nursing

The patient demands to see the actual medical record of a hospitalization that occurred 1 year ago. How should the hospital handle this request?

1. Deny the demand; the patient has no legal right to this record. 2. Have the patient come to the hospital to review the original record. 3. Send the patient a copy of the medical record by registered mail. 4. Do not comply with this demand unless the patient provides a subpoena for the record.

Nursing

The nurse teaches the caregiver to maintain the patient's safety when transferring to a chair. Which teaching should the nurse include to address the weakness of the patient's right side?

a. Place the chair to the patient's right side after sitting the patient on the edge of the bed. b. Place the chair to the patient's left side after sitting the patient on the edge of the bed. c. Place the chair wherever the patient wants it after sitting the patient on the edge of the bed. d. Place the chair wherever the caregiver wants it after sitting the patient on the edge of the bed.

Nursing

A nurse is taking a history on a low-income Hispanic toddler. The parent tells the nurse that occasional diarrhea is treated with azogue, a mercury compound commonly used in the parent's native Mexico. What should the nurse recognize about this remedy?

a. It is harmless. b. It is dangerous. c. It has a scientific basis. d. It has importance in certain religious practices.

Nursing