The patient is complaining of chest pain. The nurse asks several questions to determine the likelihood that this pain is cardiac in origin. What patient response is most likely to indicate cardiac pain?
A) Started suddenly and was at maximum intensity from the start
B) Accompanied by no other symptoms, such as nausea
C) Painful area is the size of a clenched fist and substernal.
D) Described as stabbing and knifelike pain
C
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A client who has a heart murmur due to vegetative growth on the leaflets of the heart valves asks the nurse what caused this condition. The best reply is:
1. "Alcohol and nicotine abuse use over many years." 2. "A residual virus following a bout of childhood chickenpox." 3. "Strep throat or respiratory infection, resulting in rheumatic fever." 4. "Uncontrolled triglycerides and cholesterol."
Which aspect of our tradition and history in nursing may impede our movement towards future-oriented thinking?
a. Lack of confidence b. Focus on the discipline of nursing c. Focus on details in the everyday practice d. Mistrust of trends and new evidence
A client is experiencing a productive cough, audible coarse crackles, elevated temperature of 102.3°F, chills, and body aches. What did the nurse use to determine that this patient is experiencing respiratory compromise?
1. Deductive reasoning 2. Inductive reasoning 3. Socratic questioning 4. Critical analysis
After assaulting another client, an adult client is placed in restraints. After the client is removed from restraints, the staff discusses the incident and establishes guidelines for the client's return to the therapeutic milieu
This discussion is considered to be: A) Post-restraint intervention. B) Treatment planning. C) Post-conference. D) Debriefing.