The nurse assesses a friction rub in a patient who is 2 days post–myocardial infarction (MI). The nurse recognizes this finding as an indicator of:
a. a recurrent MI.
b. pleural effusion.
c. pericarditis.
d. angina.
C
Friction rubs indicate pericarditis resulting from the inflamed area of the infarct rubbing on the pericardium. The pericarditis needs to be addressed with antibiotics.
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Which of the following chest radiography findings is consistent with a left pneumothorax?
a. Flattening of the diaphragm b. Shifting of the mediastinum to the right c. Presence of a gastric air bubble d. Increased radiolucency of the left lung field
A nurse manager understands that the second step in handling an employee with a disciplinary problem is to document the incident. Which of the following is best for documentation of per-sonnel problems?
a. Use of the performance appraisal on an annual basis b. Notes made immediately after an incident that include a description of the incident, actions taken, plans, and follow-up c. A tally sheet of medication errors and other specific problems that will be used at annual review d. Copies of reports, placed in his or her file, of all unusual occurrences involving the employee
Your client is cared for at home by his son and daughter-in-law, who are also responsible for the care of their four preschool-aged children. What is true of this "sandwich" generation?
a. The conflicts that arise from caring for both older adults and children can be very stressful. b. The majority of middle-aged adults are faced with balancing the care of par-ents and children. c. The average age of adults caring for parents is in the late 30s and early 40s. d. The majority of caregivers affected by this "sandwich" generation are males.
A 58-year-old man with erectile dysfunction (ED) tells the nurse he is interested in using sildenafil (Viagra). Which action should the nurse take first?
a. Assure the patient that ED is common with aging. b. Ask the patient about any prescription drugs he is taking. c. Tell the patient that Viagra does not always work for ED. d. Discuss the common adverse effects of erectogenic drugs.