A patient arrives in the emergency department with severe chest pain. The patient reports that the pain has been occurring off and on for a week now. Which assessment finding would indicate the need for cautious use of nitrates and nitrites?
a. Blood pressure of 88/62 mm Hg
b. Apical pulse rate of 110 beats/min
c. History of renal disease
d. History of a myocardial infarction 2 years ago
ANS: A
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It has been reported to the nurse manager that an employee is repeatedly parking in the patient/visitor parking area. What actions should the manager take?
1. Confront the employee. 2. Check the parking lot each morning. 3. Discuss the issue at the next employee appraisal. 4. Give an in-service to the staff on parking policy.
A 40-year-old male has reported to the clinic with complaints of impotence. The nurse is reviewing the patient's health history
Which statements by the patient warrant further investigation? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "I take medications to control my blood pressure.". 2. "I had the mumps when I was a boy.". 3. "I had a vasectomy 4 years ago.". 4. "I have had diabetes for several years.". 5. "My wife has a history of cervical cancer.".
The school nurse is reviewing the records of students in an elementary school. Based on current child morbidity rates, which child is the nurse most careful to monitor for days missed from school?
A) A child with asthma B) A child with contact dermatitis C) A child with severe hay fever D) A child with food allergies
The nurse provides teaching on the signs of impending labor with a client at week 37 of gestation. Which client statements indicate that additional teaching would be beneficial? Select all that apply
1. "A bloody show means labor will begin within 2 days." 2. "Having uterine contractions that increase over time is a sign of labor." 3. "Uterine contractions that do not radiate to the back are a sign of labor." 4. "Having a spontaneous flow of water from my vagina is a sign of labor." 5. "Expulsion of a plug of mucus means the baby has dropped into the pelvis."