A patient has been diagnosed with angina. As he talks with the nurse, he asks several good questions about angina and seems able to concentrate on the explanations. He seems eager to learn how to manage his condition
What assessment can be made by the nurse?
a.
Severe anxiety is present.
b.
Mild anxiety is present.
c.
Moderate anxiety is present.
d.
The level of anxiety cannot be determined.
ANS: B
A
When severe anxiety is present, the person's thoughts are scattered and attention to learning is decreased.
B
With mild anxiety, the person is able to focus attention, and there is an increased capacity for learning.
C
When moderate anxiety is present, the person is only able to concentrate on one thing at a time and would not be asking questions.
D
The level of anxiety can be determined from the patient's behaviors.
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The nurse is on duty in the emergency department when a patient is brought in who has died. The family states that the patient has had no history of medical problems and there is no other apparent reason for death
The nurse knows that in this situation: 1. the police must be notified. 2. the family may choose to have an autopsy performed. 3. an autopsy is required by law, and the coroner or medical examiner must be noti-fied. 4. the body must be held at the hospital for 24 hours.
The nurse should keep which concept in mind when providing care to a patient with cardiogenic pulmonary edema?
A) Increased left ventricular pressure is reflected back to the pulmonary capillary bed. B) This condition is caused by decreased oncotic pressure due to anemia. C) Capillary endothelial injury makes the capillaries leaky. D) Lymphatic blockage prevents drainage of interstitial fluid.
A 24-year-old client who had a plaster cast applied to the right arm 3 weeks ago presents to the clinic
In reviewing the client's laboratory data, the nurse notes that the client's erythro-cyte sedimentation rate (ESR) has increased from 15 mm/hr to 25 mm/hr. What would be the nurse's best action? A. Document the finding as the only action. B. Have the cast reapplied. C. Notify the health care provider. D. Obtain an order for a repeat ESR in 2 weeks.