The patient describes her chest pain as "squeezing, crushing, and 12 on a scale of 10." This pain started more than an hour ago while she was resting, and she also feels nauseous
Based on these findings, the nurse should assess for which associated symptoms?
a. Tachycardia, tachypnea, and hypertension
b. Dyspnea, diaphoresis, and palpitations
c. Hyperventilation, fatigue, anorexia, and emotional strain
d. Fever, dyspnea, orthopnea, and friction rub
ANS: B
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An older patient with gastroesophageal reflux disease (GERD) is prescribed ranitidine (Zantac). What should the nurse instruct as the mechanism of action of this medication?
1. Neutralizes stomach acid 2. Decreases acid production in the stomach 3. Creates a coating that acts as a protective barrier 4. Increases motility in the esophagus and stomach
When preparing to administer intravenous insulin, the nurse knows that the insulin that may be given intravenously is:
a. regular. c. lente. b. NPH. d. ultralente.
Which of the following assessment data indicate the presence of a local inflammatory process? (Select all that apply.)
1. Client reports being cold 2. Left elbow warm to the touch 3. Elevated white blood cell (WBC) count 4. Pitting edema of +2 around the right ankle 5. Client reports knee pain of 5 on a scale of 1 to10 6. Client observed grimacing while raising shoulder to brush hair
The mother of a teenage client who has an adjustment disorder with depressed mood mentions, "I'm glad we're getting the problems taken care of now so we won't have to worry about de-pression in the future."
The information about risk that should serve as a basis for the nurse's reply is: 1. Early intervention with teen problems prevents future problems as an adult 2. Diagnosis of teen adjustment disorder may predict problems as an adult 3. No information exists that will help the nurse frame an answer 4. Unless the client has first-rank relatives with depression, risk is limited