The client describes her chest pain as "squeezing, crushing, and 12 on a scale of 10." It started more than an hour ago while she was resting, and she also feels nauseous. Based on these findings, the nurse would assess for which associated symptoms?
a. Tachycardia, tachypnea, and hypertension
b. Dyspnea, diaphoresis, palpitations, and nausea
c. Hyperventilation, fatigue, anorexia, and emotional strain
d. Fever, dyspnea, orthopnea and friction rub
ANS: B
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The nurse manager is facing resistance to change from many staff nurses. Why should the manager work hard to address this resistance?
1. Resistance will keep the change from occurring at all. 2. Resistance from the late majority can keep others from accepting the change. 3. Resistance can negatively impact future client care. 4. Resistance allows others to take power from managers.
Which of the following acts is in keeping with a major role of nurses in the case of a bioterrorist attack?
a. Create individualized nursing care plans to provide for the best possible outcome for each patient. b. Initiate and coordinate communication with public communication systems, such as radio and television reporters. c. Provide client referrals to physicians for initial evaluation, triage, and medical management. d. Recognize cases and clusters of cases resulting from the attack or from naturally occurring outbreaks.
Which question would the nurse ask to best assess an older female client's report that she is experiencing decreased sexual pleasure?
a. "When did you first notice the problem?" b. "Which medications are you currently taking?" c. "What do you mean by decreased sexual pleasure?" d. "Is your partner also experiencing a problem?"
Which of the following foods is likely to be well received by a cancer client with mouth ulcerations?
1. Hot tomato soup 2. Cold lemonade 3. Pasteurized eggnog 4. Bread pudding with raisins