A patient presents for evaluation of a sharp, aching chest pain which increases with breathing. Which anatomic area would you localize the symptom to?
A) Musculoskeletal
B) Reproductive
C) Urinary
D) Endocrine
A) Musculoskeletal
Chest pain may be due to a musculoskeletal condition, such as costochondritis or intercostal muscle cramp. This would be worsened by motion of the chest wall. Pleuritic chest pain is also a sharp chest pain which increases with a deep breath. This type of pain can occur with inflammation of the pleura from pneumonia or other conditions and pulmonary embolus.
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A patient has been administered nesiritide (Natrecor) to manage symptoms of acute heart failure. How does the drug act?
A) Nesiritide (Natrecor) exhibits mild inotropic action and decreased platelet aggregation. B) Nesiritide (Natrecor) compensates for cardiac deterioration by reducing preload and afterload. C) Nesiritide (Natrecor) corrects hyperthyroidism by inhibiting synthesis of the thyroid hormone. D) Nesiritide (Natrecor) increases the concentration of acetylcholine to potentiate the action of ACE.
While assessing your patient, you know to identify health patterns and if these health patterns are achieving their goals. If you find that the patient's health patterns are not achieving their goals, then what are you, as the nurse, obligated to do?
A) Seek ways to promote balance. B) Create an opportunity for social balance. C) Identify alternative forms of care. D) Provide insight into the physiologic failings of the system.
Which of the following would lead the nurse to suspect that a postpartum woman is experiencing a problem?
A) Elevated white blood cell count B) Acute decrease in hematocrit C) Increased levels of clotting factors D) Pulse rate of 60 beats/minute
The nurse is caring for a client who is being treated for cerebral vasospasm with a medical treatment referred to as triple-H therapy
Which of the following assessment data confirm that the treatment is currently effective? Select all that apply. 1. BP 170/96 2. Hematocrit 34% 3. Mean arterial pressure (MAP) 110 mmHg 4. Intercranial pressure (ICP) 10 mmHg 5. Urine output 40 ml/hr