The patient was admitted with an acute myocardial infarction several days ago and is now complaining of severe midsternal chest pain at rest and dyspnea. The pain is constant, more severe when the patient lies down, and unaffected by medications
What is the best nursing intervention?
A) Obtain cardiac marker blood tests to assess for reinfarction.
B) Auscultate for pericardial and pleural friction rubs.
C) Auscultate for new onset of S3 heart sound.
D) Prepare the patient for cardiac catheterization.
B
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When assessing vital signs on a 40-year-old male, the nurse identifies a pulse rate of 120 . This pulse is:
a. normal. b. bradycardic. c. dysrhythmic. d. tachycardic.
Which of the following men is most likely to experience a loss of sexual function?
A) Mr. E, age 70, who has recently been diagnosed with benign prostatic hyperplasia (BPH). B) Mr. J, age 70, who had a transurethral prostate resection (TURP) 6 weeks prior. C) Mr. Y, age 65, who has had a radical prostatectomy. D) Mr. U, age 73, who is undergoing radiation treatment for his prostate cancer.
Which of the following responses by the nurse is most appropriate when a client asks, "What contraceptive do you think I should use?"
a. "I can discuss the various methods so you can decide what is best for you." b. "Because you are younger than 40, you should use oral contraceptives." c. "The male condom is probably the easiest for you to use." d. "Ask your doctor. She will know what is best for you."
The nurse is reviewing the laboratory values for a patient with an abdominal enterocutaneous fistula. Which of the following values would cause the nurse the most concern about the status of the patient?
1. white blood cell count 9.000 2. serum sodium level 142 mEq/dL 3. serum potassium level 3.2 mEq/dL 4. fasting blood glucose level 100 mg/dL