The nurse suspects that a neighbor has had a heart attack and calls for an ambulance. Which symptoms alerted the nurse to a suspected heart attack?
1 . Chest pain with radiation to the left arm
2 . Rest relieves the chest pain
3 . Pain radiating to the back
4 . Restlessness
A) 1, 2, 3
B) 1, 2, 4
C) 1, 3, 4
D) 2, 3, 4
C
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The person usually complains of chest pain, which may radiate to the left (or right) arm. Other symptoms include pain radiating to the back, neck, jaw, or teeth; the pain may also be mistaken for heartburn or indigestion. Other common symptoms of MI include restlessness. Rest usually does not relieve this pain.
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The nurse is caring for a nursing home resident who has had Parkinson's disease for 15 years. What symptoms does the nurse anticipate when assisting with a routine assessment?
a. Slow shuffling gait, difficulty swallowing, and pill-rolling tremor b. Intention tremor, flaccid muscles, and tachykinesia c. Hemiparesis, tremor of the head, and blurred vision d. Cough, fever, and impaired airway clearance
A patient with bronchogenic oat cell carcinoma has a drop in urine output. The laboratory reports a serum sodium level of 120 mEq/L, a serum osmolality level of 220 mOsm/kg, and urine specific gravity of 1.035 . The nurse would suspect
a. diuresis. c. SIADH. b. DI. d. hyperaldosteronism.
The mother of a young child voices concern about immunizations for her child. The nurse's best response to the mother's concerns is:
a. "Immunization is generally a safe method of avoiding certain diseases and the com-plications that go along with these diseas-es." b. "There are no risk factors associated with immunizations, so there is no reason to worry." c. "I really don't understand the thinking behind people not immunizing their children if it can prevent disease." d. "Recommendations of Healthy People 2020 Goal 14 is to reduce or eliminate cases of vaccine-preventable diseases, so I strongly urge you to immunize your child."
When teaching clients about acute myocardial infarctions (MI), the nurse should include:
a. "Acute myocardial infarction, or heart attack, occurs when an area of heart muscle dies as a result of insufficient oxygen." b. "Nearly 80% of all clients experiencing acute myocardial infarction die before reaching a health care facility, so you should get your affairs in order." c. "The goal for the care of the client with an acute myocardial infarction is to restore life to the dead heart tissue." d. "The first action you should take if you experience signs of a heart attack is to place one of your nitroglycerin patches on."