A patient presents with severe substernal chest pain. The patient exclaims, "This is the most severe pain I have ever felt!" The patient reports that the pain came on suddenly about 2 hours ago and that three sublingual nitroglycerin tablets have
not relieved the pain. The 12-lead ECG reveals only the following abnormalities: T-wave inversion in leads I, aVL, V4, and V5; pathologic Q waves in leads II, III, and aVF; ST segment elevation in leads V1, V2, V3, and V4 . Which of the following is probably accurate about this patient? a. This patient has an old lateral wall infarction.
b. This patient is having an inferior wall infarction.
c. This patient is having an acute anterior wall infarction.
d. This patient is having a posterior wall infarction.
C
Acute anterior wall infarctions are manifested by electrocardiographic (ECG) changes in leads V2 to V4 . Inferior infarctions are manifested by ECG changes in leads II, III, and aVF. Lateral wall infarctions are manifested by ECG changes in leads V5 to V6, I, and aVL. Posterior wall infarctions are manifested by ECG changes in leads V1 to V2.
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The priority goal for older clients diagnosed with diabetes mellitus is
A) maintenance of proper glycemic control. B) yearly eye examinations. C) keeping appointments with podiatrists for foot care. D) recognizing the symptoms of myocardial infarction and knowing the correct action to take.
Which of the following indicates a nurse's role as a researcher?
a. Reading peer-reviewed journal articles b. Working as a member of the interdisciplinary team to provide client care c. Helping client to obtain home care post-discharge from the hospital d. Delegating tasks to unlicensed personnel to allow for more teaching time with clients
Define self-esteem. Discuss the effect that hospitalization and dependence on others can have on self-esteem. Why do you think this happens? What can the nursing assistant do to assist the patient to protect his self-esteem?
What will be an ideal response?
A patient is admitted to the hospital with a severe headache and photophobia. A lumbar puncture confirms a bleeding aneurysm
What nursing interventions should the nurse anticipate assisting with to prevent increased intracranial pressure (ICP) during the acute phase of illness? a. Morphine, dark glasses, and expectorants b. Quiet room, head of bed up, and stool softeners c. Coughing and deep breathing exercises and tranquilizers d. Range of motion exercises, bedside commode, and suctioning as needed