A patient being treated for an acute MI reports severe chest pressure, "as if someone is standing on my chest." What should the nurse do first?
a. Obtain vital signs.
b. Notify the physician.
c. Administer nitroglycerin.
d. Order an electrocardiogram.
ANS: A
Data collection should be done first and then reported to the physician so that appropriate orders can be obtained. C. D. After the physician is notified, additional orders may be provided which may or may not include nitroglycerin or an electrocardiogram.
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What is the American Nurses Association Standard of Professional Performance as it applies to contribution to the professional development of peers?
1. Only nurses who want to contribute to peer professional development should do so. 2. All nurses have a responsibility for contributing to the professional development of peers. 3. Only nurses with master's degrees have the responsibility for contributing to the professional development of peers. 4. Only nurses with baccalaureate degrees have the responsibility for contributing to the professional development of peers.
An infant is being discharged at 48 hours of age. The parents ask how the infant should be bathed this first week home. Which is the best recommendation by the nurse?
a. Bathe the infant daily with mild soap. b. Bathe the infant daily with an alkaline soap. c. Bathe the infant two or three times this week with mild soap. d. Bathe the infant two or three times this week with plain water.
The client scheduled to have a radionuclide brain scan is worried about contaminating her family members with radioactive materials. What is the nurse's best response?
A. "The material completely clears within 6 to 12 hours, so it will be safe for you family to visit afterward." B. "Collect your urine in a special radioactive-proof container to avoid contamina-tion." C. "Liver enzymes break down the radioactive isotope, so you do not have to worry about contamination." D. "The reactive isotope poses no hazards to your family members as it passes through your body."
The greatest risk for potential health problems occurs in which age group?
a. Newborn b. Toddler c. School-age d. Adolescence