An emergency department nurse is assessing a 62-year-old rancher who arrives at the ED with chest pain. The patient states that the pain gets worse with movement. What further assessment should the nurse make?
A) Auscultation at the 5th ICS
B) Palpation at the PMI
C) Assessment of the precordium
D) Palpation of the costochondral junction
D
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The nurse taking the history of an 80-year-old woman diagnosed with gastroenteritis would recognize that the most significant factor in determining potential for complications in this client is
a. age. b. family history. c. gender. d. prior bouts of gastroenteritis.
The nurse is preparing a dose of Lanoxin for a pediatric client. The nurse recognizes that the pediatric medication takes which form?
a. Elixir b. Tablet c. Lozenge d. Infusion
The nurse is caring for a client with heart failure. Which assessment findings indicate the client is currently experiencing stage 2 heart failure?
Standard Text: Select all that apply. 1. Fatigue with physical activity 2. Palpitations with physical activity 3. No symptoms with physical activity 4. Dyspnea with physical activity 5. Angina at rest
The nurse is caring for a child with severe head trauma after a car accident. Which is an ominous sign that often precedes death?
a. Papilledema b. Delirium c. Doll's head maneuver d. Periodic and irregular breathing