The nursing instructor is discussing angina pectoris with the junior nursing class. What would the instructor teach the students about the care of a client who is having an angina attack?
A) Have the patient sit down and put the head between the knees
B) Have the patient lay flat on his or her back
C) Have the patient stand still and bend over at the waist
D) Place the patient on bed rest in a semi-Fowler's position
Ans: D
Feedback: When a patient experiences angina, the patient is directed to stop all activities and sit or rest in bed in a semi-Fowler's position to reduce the oxygen requirements of the ischemic myocardium. The other options are incorrect.
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The nurse is assessing a client before administering an analgesic. What are some of the factors the nurse should consider? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. The client is willing to receive medication after being advised about it. 2. The client's vital signs are stable. 3. The partner agrees to use of the medication. 4. The client has no known allergies to the medication. 5. The client is aware of the contraindications of the medication.
The charge nurse is reviewing charting on patients in the maternal-child triage unit. Which entry requires immediate intervention?
1. Primip at 24 weeks diagnosed with polyhydramnios: "Patient reporting shortness of breath." 2. Multip at 32 weeks: "Oligohydramnios per ultrasound secondary to fetal renal agenesis." 3. Primip at 41 weeks: "Patient reports leaking clear fluid from her vagina for 7 hours." 4. Multip at 34 weeks diagnosed with oligohydramnios: "Cervix 6 cm, -2 station, up to walk in hallway."
The nurse made a medication error. Which statement reflects the traditional "blame game" approach to such errors? Select all that apply
1. The nurse manager says, "You have to complete the incident report and notify the patient's physician. You made the error, not me." 2. The nurse says, "Why did I make this error?" 3. The physician says, "Is there some way we can prevent this type of error from happening again?" 4. The nurse thinks, "The patient is okay, so I won't tell anyone this happened." 5. The risk manager says, "How many errors has this nurse made this year?"
A woman has had two pregnancies. The first pregnancy produced a healthy baby girl. The second pregnancy produced a set of twins, a boy and a girl. How would the nurse document this history?
a. GII, PI, PII b. GII, PII c. GII, PIII d. GIII, PIII