A patient with angina pectoris complains of chest pain at rest and needs to take three nitroglyce-rin (NTG) pills to relieve the pain. Of what should the nurse assess this as a major symptom?
a. Stable angina
b. Unstable angina
c. Full-blown acute myocardial infarction (MI)
d. Pulmonary embolus
B
A patient with angina who has pain at rest that is not relieved with one NTG pill is considered to have unstable angina, a precursor to an acute MI.
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A client who is hospitalized with burns after losing the family home in a fire becomes angry and screams at a nurse when dinner is served late. How should the nurse respond?
a. "Do you need something for pain right now?" b. "Please stop yelling. I brought dinner as soon as I could." c. "I suggest that you get control of yourself." d. "You seem upset. I have time to talk if you'd like."
A client is prescribed an oral contraceptive with estrogen and progesterone. What should the nurse instruct the client about this contraceptive?
Select all that apply. A) An increase in appetite and weight gain is caused by the estrogen. B) Headaches and nausea are caused by the progesterone. C) Breast tenderness occurs because of the estrogen. D) An increase in blood pressure is caused by the progesterone. E) Acne and oily skin can occur because of the progesterone.
The home health nurse would document that a parent has adequate knowledge of child safety if the parent:
1. holds the infant in the left arm while cooking with the right. 2. sits the infant on the lap while smoking. 3. sets a hot pan from the stove on the edge of the counter when the phone rings. 4. states that the hot water heater is set to 120ยก F.
The nurse is caring for a child after heart surgery. One nursing diagnosis is "Ineffective family coping related to illness and hospitalization as evidenced by verbalization of guilt by parents and lack of involvement in the child's care
" Which of the following interventions would be most helpful? a. Tell the parents they don't need to feel guilty, and ask them to help with care. b. Explain all lines, tubes, and procedures; answer all questions; involve social workers and clergy; encourage verbalization; and listen to concerns. c. Ask the parents: "Why do you think you feel so guilty and not feel comfortable helping with the child's care?" d. Tell the parents that their indifference is preventing full recovery of the child.