A client who has just had a heart attack reports experiencing intense pain in the left shoulder. The nurse explains this type of pain is called:
A)
acute pain.
B)
chronic pain.
C)
phantom pain.
D)
referred pain.
D
Explanation:
A)
Referred pain starts in one site but is perceived in another area, distant from the site of the stimuli. There are sometimes nerve tracts connecting the two sites.
Analysis
Assessment
Health Promotion: Prevention and/or Early Detection of Health Problems
B)
Referred pain starts in one site but is perceived in another area, distant from the site of the stimuli. There are sometimes nerve tracts connecting the two sites.
Analysis
Assessment
Health Promotion: Prevention and/or Early Detection of Health Problems
C)
Referred pain starts in one site but is perceived in another area, distant from the site of the stimuli. There are sometimes nerve tracts connecting the two sites.
Analysis
Assessment
Health Promotion: Prevention and/or Early Detection of Health Problems
D)
Referred pain starts in one site but is perceived in another area, distant from the site of the stimuli. There are sometimes nerve tracts connecting the two sites.
Analysis
Assessment
Health Promotion: Prevention and/or Early Detection of Health Problems
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The nurse's response would include the information that the stent: 1. Will keep the ductus arteriosus open and oxygenated and unoxygenated blood mixed. 2. Is used to close the ductus arteriosus to prevent mixing of arterial and venous blood. 3. Will redirect the blood so that blood bypasses the right ventricle. 4. Connects the ventricle to the atrium.
The nurse is performing a health history, and the client relates a history of drug abuse, saying he has been drug free for 15 years. Which action by the nurse is the most appropriate?
1. Record this information under lifestyle. 2. Record this information under social data. 3. Do not record this information, because it is too old to be relevant. 4. Record this information under patterns of health care.
A client begins to vomit blood. The nurse immediately measures the blood pressure and prepares to insert a nasogastric tube while directing others to notify the healthcare provider and prepare to perform iced saline lavage
Which features of the Tanner Clinical Judgment Model did this nurse demonstrate? Select all that apply. A) Presencing B) Noticing C) Empowerment D) Interpreting E) Responding
The patient with atrial fibrillation asks why she needs to take warfarin. The most informative response by the nurse is that warfarin will:
a. thin the blood to increase the ejection fraction. b. prevent clots from forming in the atria. c. block the arrhythmia from involving the ventricles. d. increase the cardiac output.