The nurse, assessing a middle-aged patient experiencing chest pain, realizes that which symptoms would be most suggestive of an acute myocardial infarction?
1. Substernal pressure-type pain, radiating down the left arm
2. Colic-like epigastric pain
3. Sharp, well-localized unilateral chest and left arm pain
4. Sharp, burning chest pain moving from place to place
1
Rationale 1: Terms such as burning, crushing, suffocating, and pressure are typical descriptors of chest pain from myocardial ischemia, often with pain radiating to other areas of the upper torso.
Rationale 2: Cardiac chest pain is not usually described as colic-like or localized to a defined spot such as the epigastric area.
Rationale 3: Cardiac chest pain is not usually described as sharp or localized to a defined spot.
Rationale 4: Cardiac chest pain is not usually described as moving from place to place.
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a. Do nothing because the more fuss that is made about a procedure, the more anxiety it causes the patient. b. Explain to the patient that the blood pressure is a vital sign that the doctor has ordered. c. Tell the child that the blood pressure cuff will "hug" the arm. d. Ask the child's mother to step outside the room because children frequently do better when alone.
A group has two more sessions before it ends. One member who previously has been vocal and has shown much progress has grown silent. Which response by the leader would be most helpful for the quiet member and others as well?
a. "The end of a group can stir up a lot of feelings, both good and bad. I'd like to hear from each of you about what the end of the group is stirring up in you.". b. "Sometimes the end of a group is welcome, other times regretted. What are people feeling as we wind down and face the end of the group?" c. "I've enjoyed the group and hope it has been helpful to you all. How about if today we focus on what everyone will be doing now that group is ending.". d. "The end of the group is upon us. I wish you all well and would appreciate it if everyone could take a moment to talk about what you have learned in group.".
Which nursing intervention is appropriate for helping a client with borderline personality disorder to extinguish clinging and splitting behaviors?
A) Putting the client on room restriction every time this type of behavior occurs B) Ignoring behaviors so that they will be extinguished for lack of reinforcement C) Securing a verbal contract with the client that he or she will discontinue this type of behavior D) Assuring the client that various staff members will work with him or her while in the hospital
A nursing educator is attempting to integrate evidence-based practice into the maternity rotation. Which of the following actions is most likely to ensure that the process has meaning for the students?
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