The nurse working on a telemetry floor recognizes that which of the following patients may not experience chest pain as a typical symptom associated with angina and acute coronary syndrome (ACS)?
A) A patient with renal failure
B) A patient with diabetes
C) A patient with a liver transplant
D) A patient with rheumatoid arthritis
Ans: B
Feedback: Elderly people and patients with diabetes may not experience chest pain as a typical symptom associated with angina and ACS because of neuropathies. Atypical symptoms, such as fatigue or shortness of breath, are predominant symptoms in these patients. Also, women with ACS are more likely than men to present with atypical symptoms, including shoulder or upper back pain, shortness of breath, or extreme fatigue.
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The pediatric clinic nurse assesses a child who reports swallowing problems and skin changes on the hands in response to cold exposure. Which other manifestations will the nurses assess for in this child? (Select all that apply.)
A. Calcinosis B. Fungal nail infections C. Oral thrush D. Sclerodactyly E. Telangiectasias
The charge nurse delegates the administration of a pain medication to a practical nurse. Which statement, made by the charge nurse, indicates that the final step in the delegation process has been completed?
A) "Did you document the administration of the pain medication on the medication record?" B) "Is the physician aware of the client's need for pain medication?" C) "What is the client's pain level since administering the pain medication 30 minutes ago?" D) "Have you ever administered this type of pain medication previously?"
The nurse is describing the maturation of various organ systems during toddlerhood. Which would the nurse include in this description?
A) Myelinization of the brain and spinal cord is complete at about 24 months. B) Alveoli reach adult numbers by 3 years of age. C) Urine output in a toddler typically averages approximately 30 mL/hour. D) Toddlers typically have strong abdominal muscles by the age of 2.
A client living on the beachfront seeks help with an extreme fear of crossing bridges, which interferes with daily life. A psychiatric nurse practitioner decides to try systematic desensitization
Which explanation of this therapy should the nurse convey to the client? A. "Using your imagination, we will attempt to achieve a state of relaxation that you can replicate when faced with crossing a bridge." B. "Because anxiety and relaxation are mutually exclusive states, we can attempt to substitute a relaxation response for the anxiety response." C. "Through a series of increasingly anxiety-provoking steps, we will gradually increase your tolerance to anxiety." D. "In one intense session, you will be exposed to a maximum level of anxiety that you will learn to tolerate."