A client comes to the clinic complaining of shortness of breath with activity that has gradually gotten worse over several years. An important finding from the nursing history would be the client's
a. family history of lung cancer.
b. occupation as a coal miner.
c. previous treatment for "walking pneumonia."
d. recent move from the mountains.
B
Pneumoconioses ("dust diseases") are an occupational hazard for people who are coal miners, construction workers, sandblasters, potters, or who work in foundries and rock quarries. Manifestations develop gradually over a period of years and the decreased lung capacity is due to diffuse pulmonary fibrosis.
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The patient is complaining of chest pain. The nurse asks several questions to determine the likelihood that this pain is cardiac in origin. What patient response is most likely to indicate cardiac pain?
A) Started suddenly and was at maximum intensity from the start B) Accompanied by no other symptoms, such as nausea C) Painful area is the size of a clenched fist and substernal. D) Described as stabbing and knifelike pain
A client with Paget's disease has been prescribed treatment with a 6-month course of etidronate (Didronel). What instructions would be most important for the nurse to provide to this client?
A. "This medication may make you feel light-headed or sleepy." B. "Take this medication with water or juice 1 to 2 hours after breakfast." C. "This dosage will be increased over the course of therapy." D. "The medication may cause diarrhea."
Excellence involves challenging ourselves. Which of the following would be considered challenging for a nurse who has been in his or her role for less than 1 year?
A. Performing a highly complicated technical skill that he or she has done a number of times before B. Modifying the plan of care for a patient for whom he or she has cared for the past 4 days C. Responding to a satisfaction survey sent by the school from which he or she re-cently graduated D. Accepting an invitation to speak at a re-gional professional meeting
The nurse is caring for a preschool child who is receiving palliative care for end-stage cancer. What would be the focus of age-appropriate interventions for this child?
A) Providing unconditional love and trust B) Providing a familiar and consistent routine C) Teaching the child that death is not punishment D) Providing specific, honest details of death