While taking a nursing history of a patient recently diagnosed with restrictive cardiomyopathy, which information does the nurse recognize as significant to this health problem?
1. A history of cocaine abuse
2. A family history of cardiomyopathy
3. History of depression
4. History of excessive alcohol use
1
Rationale 1: The incidence of cocaine-related restrictive cardiomyopathy is increasing in the United States.
Rationale 2: A family history of cardiomyopathy is most common with hypertrophic obstructive cardiomyopathy.
Rationale 3: Depression is not related to the causes of cardiomyopathy.
Rationale 4: Excessive alcohol use is associated with dilated cardiomyopathy.
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During an examination, the patient states he is hearing a buzzing sound and says that it is "driving me crazy!" The nurse recognizes that this symptom indicates:
a. Vertigo. b. Pruritus. c. Tinnitus. d. Cholesteatoma.
Which assessment findings would be expected for a patient diagnosed with bipolar I disorder?
a. Rapid cycling b. Major depression and acute mania c. Major depression and/or hypomania d. Hypomania and/or minor depression
One way that the health care team can differentiate between a myasthenic crisis and a cholinergic crisis is to:
a. ask the patient about occupation and family history. b. assess serum levels of the cholinesterase inhibitor. c. assess the patient for muscle weakness. d. administer edrophonium, and monitor the response.
The patient says, "When I came to the hospital yesterday, everything got confused." What would be the best response by the nurse?
a. "What happened?" b. "Yes, hospital admissions can be confusing." c. "Are you confused now?" d. "We really try to make admissions less stressful."