The nurse is assessing a female patient with a family history of coronary artery disease (CAD). Which report is most concerning to the nurse?
a. "I get a little short of breath after climbing the three flights of stairs to my apart-ment."
b. "I stay tired all of the time, and it feels like my bra is too tight."
c. "I awaken frequently in the night, and my husband says that I snore."
d. "I notice wheezing after I dust or when I exercise."
B
In addition to displaying a positive family history for CAD, report of fatigue and shoulder and back discomfort are most concerning to the nurse. Chest pain is often atypical in women and may manifest as pain in the shoulders, back, or abdomen. Mild shortness of breath after climbing three flights of stairs is consistent with exertion. Awakening frequently in the night and snoring are suspicious for obstructive sleep apnea. Wheezing in the presence of dust or with exercise are findings consistent with potential asthma.
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When analyzing the phenomenon of environmental control which are characteristics of the White population?Select all that apply.
A. Primarily rely on Western health care delivery systems B. May observe traditional health beliefs C. May practice traditional folk medicine D. Follow homeopathic medicine E. Adhere to religious principles of health care treatment
Which of the following interventions is mostly likely to minimize the cause of a pressure ulcer on the left buttock of a client who is comatose?
1. Turn and position the client at least every 2 hours. 2. Use a lift sheet when moving the client up in the bed. 3. Change wet, soiled clothing as promptly as it is detected. 4. Keep the head of the client's bed elevated to less than 30 degrees.
It is vital to communicate changes in patient condition to the physician. When using the SBAR process, the nurse knows that what should be included when communicating patient condition? (Select all that apply.)
a. Problem b. Current medications c. Assessment d. Diagnosis e. Documentation f. Lab data
A postoperative 14-year-old patient is undergoing antibiotic therapy. She has never had any problems taking medications in the past
When the nurse hung the second dose of IV antibiotics, the patient suddenly had shortness of breath and had difficulty breathing. The nurse recognized this was most likely which of the following? A. Idiosyncratic reaction B. Toxic effect C. Side effect of the antibiotic D. Anaphylactic reaction