The nurse is caring for a patient who has experienced an MI. The nurse notes that there are changes in the ECG of the patient. What change on an ECG may indicate that ischemia is occurring?
A) P-wave inversion
B) T-wave inversion
C) Q-wave changes with no change in ST or T wave
D) P-wave enlargement
Ans: B
Feedback: T-wave inversion is an indicator of ischemic damage to myocardium. Typically there are not many changes to P waves during or after an MI, while Q-wave changes with no change in the ST or T wave indicate an old MI.
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Open visitation policies are expected by many professional organizations. Which statement reflects adherence to current recommendations?
a. Allow animals on the unit; however, these can only be "therapy" animals through the hospital's pet therapy program. b. Allow family visitation throughout the day except at change of shift and during rounds. c. Determine, in collaboration with the patient and family, who can visit and when. Facilitate open visitation policies. d. Permit open visitation by adults 18 years of age and older; limit visits of children to 1 hour.
An older client newly diagnosed with arthritis wants to know what else can be done to help with the pain. What should the nurse instruct this client? Select all that apply.
1. Maintain a healthy weight. 2. Avoid positions that increase or cause pain. 3. Reduce intake of red meat and processed grains. 4. Alcohol should not be used for any reason. 5. Perform daily gentle exercise like walking.
A client is anxious as a result of the communication that occurred between the nurse and the client this morning. The client wanted to get washed before breakfast, but the nurse had a critical situation to attend to with another client
The nurse asked the client to call the Unlicensed Assistive Personnel (UAP), but the client did not appreciate the unwillingness of the nurse to assist her while she was in the room. What term describes the tension state resulting from the negative appraisal of the client in this A) Apprehension B) Anxiety C) Defensiveness D) Depression
A patient is admitted to the unit. The nurse notes that the medical record for this patient lists a fall risk of 75% per the Morris Fall Risk scale. What would be an appropriate nursing intervention?
A) Assess for orthotics B) Use environmental cues C) Use an accessory high seat on the toilet D) Encourage the patient to use canes bilaterally