The nurse is caring for a patient with agina pectoris who asks what happens to make his body experience pain. The nurse explains that pain results from which underlying causative factor?
a. Congestion that backs up into the lungs
b. Inadequate blood flow and poor oxygen supply
c. Edema from fluid overload
d. Inflammation in the vessels
B
Angina pectoris (chest pain) occurs when blood supply to the heart is decreased or totally ob-structed. Pain results from ischemia (inadequate blood and oxygen supply).
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In 2000, the U.S. Department of Health and Human Services acted to make cultural competence a priority in health care. Federal standards were issued that included the following:
a. Clients are expected to agree to medical services, regardless of their cultural be-liefs. b. Hiring practices of hospitals should not be affected by these standards. c. Interpreters should be available to all non–English-speaking clients. d. Nursing staff that are of the same culture as the client should care for the client.
A patient asks the nurse about using dextromethorphan for cough. What information will the nurse include when teaching this patient about this drug?
a. "It does not cause sedation except at high doses." b. "It may be used to treat cough for up to 2 weeks." c. "It is non-narcotic, and it is OK to consume alcohol while taking this drug." d. "It should not be taken by patients who have chronic obstructive pulmonary disease (COPD)."
In a pilot study to help train a group of data collectors who will evaluate children's pain using a FACES rating scale, the researcher examines the reliability of the scores of each data collector. This is an example of which type of reliability measure?
a. Alternate forms reliability b. Internal consistency reliability c. Interrater reliability d. Test-retest reliability
A client states, "I keep having horrible nightmares about the car accident that killed my daughter. I shouldn't have taken her with me to the store." Using a cognitive approach, which nursing reply would be most therapeutic?
A. "Are other issues from your past affecting your ability to move on?" B. "Describe your current feelings about your loss." C. "Let's talk about something that will help you move on." D. "Can anyone predict when a car accident will happen?"