A female patient presents to the emergency department with complaint of chest pain. Which findings would raise the nurse's suspicion that the chest pain is of cardiac origin?
1. The patient has 2+ edema in her ankles.
2. The patient has bilateral xanthomas.
3. The chest pain is described as a "burning" in the center of the chest that is worse when supine.
4. The patient has an S3 heart sound.
5. The patient has a dull humming sound just below the xiphoid process.
1, 2, 4, 5
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The nurse caring for a patient with recurrent abdominal pain of unknown origin addresses the patient by name and puts her hand on her shoulder and offers reassuring words: "You'll be okay
Try not to think about things too much, if you can." How would you evaluate the nurse's verbal and nonverbal communication? a. Words offer hope and consolation b. Nurse's interaction is comforting c. Response builds nurse–patient trust d. Message provides false reassurance
A nurse is caring for a child with Turner's syndrome. As the nurse listens to the child's heart and lungs, she would anticipate auscultating:
1. A high-pitched gurgle. 2. A low-pitched gurgle. 3. Wheezing in the lungs. 4. Crackles in the lungs.
A client experiencing pain after surgery says "Something must be wrong," since the pain is so severe. The best response for the nurse to make to the client would be:
1. "The amount of tissue disrupted from the surgery is not related to the degree of pain you feel." 2. "That could be so." 3. "Taking pain medication for many years has made the medication ineffective now." 4. "Are you sure the pain is as bad as you are saying it is?"
Cyclobenzaprine should be used with caution in adults over age 65
a. true b. false