A client with angina complains that the anginal pain is prolonged, severe, and occurs at the same time each day, most often in the morning. On further assessment, a nurse notes that the pain occurs in the absence of precipitating factors
How would the nurse best describe this type of anginal pain? 1. Stable angina
2. Unstable angina
3. Variant angina
4. Nonanginal pain
3
Rationale: Stable angina is induced by exercise and relieved by rest or nitroglycerin tablets. Unstable angina occurs at lower levels of activity than those that previously precipitated the angina. Unstable angina also occurs at rest; is less predictable; and is often a precursor of myocardial infarction. Variant angina, or Prinzmetal's angina, is prolonged and severe and occurs at the same time each day, usually in the morning.
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The home care nurse is admitting a patient with COPD. The primary healthcare provider has ordered O2 /nasal cannula at 3 L/min. To promote safety, the nurse would instruct the patient on which of the following safety measures? (Select all that apply
) a. Place "No smoking" signs in all areas where oxygen will be used. b. Instruct family and visitors who smoke that they must smoke a minimum of 10 feet from the patient. c. Store tanks in a small closet, trunk of a car, or near the hot water heater. d. Oxygen tanks should stay a minimum of 6 feet from space heaters, fireplaces, and appliances with an electric motor. e. Know the exit routes and where the fire extinguisher are located in the home.
A patient with pregnancy-induced hypertension is admitted complaining of pounding headache, visual changes, and epigastric pain. Nursing care is based on the knowledge that these signs indicate
a. Anxiety due to hospitalization b. Worsening disease and impending convulsion c. Effects of magnesium sulfate d. Gastrointestinal upset
The nurse is changing a patient's stump dressing. How would the nurse document this dressing technique?
1. Figure-of-eight bandage 2. Binder wrapping 3. Splinting 4. Bivalving
Which of the following statements made by a nurse caring for a client who experienced a myo-cardial infarction 8 hours ago shows the greatest insight as to the purpose for keeping the client on bed rest?
1. "This has been exhausting; she needs a period of uninterrupted rest." 2. "The pain she experienced is exhausting; it's imperative that she rest." 3. "Keeping her on bed rest decreases the need her body has for oxygen" 4. "She needs complete rest; she is really very ill, especially her heart."