The nurse is contributing to the plan of care for a patient experiencing chest pain for 7 hours. The laboratory tests reveal elevated troponin I and myoglobin levels. What action should the nurse take when caring for this patient? (Select all that apply.)

a. Elevate head of bed.
b. Encourage ambulation
c. Provide rest in bed or chair.
d. Offer regular diet with hot tea.
e. Provide bedpan for elimination.


ANS: C, E
Rest and providing a bedpan for elimination will reduce the strain on the heart. A. B. D. Elevating the head of the bed, encouraging ambulation, and offering a regular diet with hot tea would increase strain on the heart.

Nursing

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The nurse is caring for a patient who is admitted to the hospital with dehydration and gastroenteritis. The patient attempted to walk to the bathroom and fainted right after getting out of bed. Which is the most likely cause of the patient's collapse?

a. Orthostatic hypotension b. Circulatory overload c. Hemolytic reaction d. Catheter embolism

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Electronic data interchange (EDI) has been instrumental in facilitating the health care process. Which of the following responses best describes the impact of the EDI?

1. EDI has the potential to eliminate second opinions. 2. EDI interacts with multiple databases. 3. EDI supplies proof of recovery. 4. EDI facilitates the approval of patient claims.

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Which assessment finding should alert the nurse to a worsening of the client's hyponatremia?

A. The client is anxious and combative. B. Diastolic blood pressure has increased by 8 mm Hg. C. Bowel sounds are hyperactive in all abdominal quadrants. D. Deep tendon reflexes of the ankles and knees have changed from 1+ to 2+.

Nursing

What is a realistic outcome for the child with osteogenesis imperfecta?

a. The child will have a decreased number of fractures. b. The child will demonstrate normal growth patterns. c. The child will participate in contact sports. d. The child will have no fractures after infancy.

Nursing