The patient's husband tells the nurse, "We didn't think she was having a heart attack because the pain was in her neck and back." The nurse explains: (Select all that apply.)
a. "Pain can occur anywhere in the chest, neck, arms, or back. Don't hesitate to call the emergency medical services if you think it's a heart attack."
b. "For many people chest pain from a heart attack occurs in the center of the chest, behind the breastbone."
c. "The sooner the patient can get medical help, the less damage is likely to occur in case of a heart attack."
d. "You need to make sure it's a heart attack before you call the emergency response personnel."
A, B, C
Angina may occur anywhere in the chest, neck, arms, or back, but the most commonly described is pain or pressure behind the sternum. The pain often radiates to the left arm but can also radiate down both arms and to the back, the shoulder, the jaw, and/or the neck.
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A nurse plans care for a client who has chronic diarrhea. Which actions should the nurse include in this client's plan of care? (Select all that apply.)
a. Using premoistened disposable wipes for perineal care b. Turning the client from right to left every 2 hours c. Using an antibacterial soap to clean after each stool d. Applying a barrier cream to the skin after cleaning e. Keeping broken skin areas open to air to promote healing
The nurse is caring for a neonate with a suspected tracheoesophageal fistula (TEF). Nursing care should include
a. Elevating the head but give nothing by mouth b. Elevating the head for feedings c. Feeding glucose water only d. Avoiding suction unless infant is cyanotic
Which occupation would increase a client's risk for carpal tunnel syndrome?
A. Sales clerk B. House painter C. Baseball pitcher D. Computer programmer
Which of the following nursing assessment data best reflects the successful achievement of the dying client's right to be pain free?
1. Introducing the client to effective alternative pain management techniques 2. Educating the client on the appropriate use of a patient-controlled analgesia de-vice 3. Pain rated as a 3 out of 10 after the administration of the prescribed pain medica-tion 4. Informed the primary care provider of the client's need for additional pain medi-cation.