The nurse is instructing a patient with a myocardial infarction about the disease process. Which patient statement indicates that additional teaching is needed?
1. "A heart attack is the same as a myocardial infarction (MI)."
2. "A heart attack causes tissue death and that part of the heart may not pump as well."
3. "A heart attack in the anterior wall of the heart can be very serious because a large portion of the heart may not pump as well."
4. "Angina always leads first to decreased blood flow to the heart muscle and then to tissue death."
4
Rationale 1: This is correct information. No clarification is needed by the nurse.
Rationale 2: This is correct information. No clarification is needed by the nurse.
Rationale 3: This is correct information. No clarification is needed by the nurse.
Rationale 4: Angina pectoris is the pain from ischemia, but necrosis of myocardial tissue does not occur with each episode of pain. The pain is from tissue hypoxia; ischemia areas may improve or deteriorate into necrosis due to collateral circulation from other vessels.
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One difference between viral and bacterial pharyngitis is that:
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A nursing student is complaining about writing care plans. Which response by the faculty is best to help the student see the importance of this activity?
a. "Using the nursing process will help nurses get reimbursement for their services." b. "You need a written plan of care so everyone is on the same page as you are." c. "The nursing process is a way to systematically think about and use patient data." d. "Most state nurse practice acts require them, so you need to learn how to do them."
Which of the following statements by clients may suggest that the individual is experiencing a spiritually based barrier to care?
A) "I've been through this all before, and ultimately nothing's changed for me." B) "If you people knew me, and knew what you were doing, you'd know that this is all a waste of time." C) "If you had any idea what I've been through, you wouldn't be so sure that you've got all the answers." D) "I know what's wrong with me, but what you don't understand is that I'm being punished."
should the nurse delegate to the unlicensed assistant personnel for an older patient with a bowel obstruction? Select all that apply
a. Administer analgesics as needed b. Provide mouth care every 2 hours c. Assess abdomen for distention d. Teach the patient about surgical procedures e. Provide the patient with a few ice chips