Ms. Washington is a 67-year-old who had a heart attack last month. Now she complains of shortness of breath and not being able to sleep in a flat position (orthopnea). On examination you note increased jugular venous pressure, an S3 gallop, crackles low in the lung fields, and swollen ankles (edema). This is an example of a:
A) Pathophysiologic problem
B) Psychopathologic problem
A) Pathophysiologic problem
This is an example of a pathophysiologic problem because Ms. Washington's symptoms are consistent with a pathophysiologic process. The heart attack reduced the ability of her heart to handle her volume status and subsequently produced the many features of congestive heart failure.
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Level 8 on the Stimulus-Reaction Level Scale indicates a patient that is
A) alert. B) very drowsy. C) unconscious but withdraws from pain. D) unconscious with no response to pain.
The nurse who was going off shift had prepared the medications for the nurse who was going to relieve her to save the oncoming nurse time. What would be the correct action of the oncoming nurse?
a. Give the medications when ordered b. Recheck the medications c. Never give medications another person has prepared d. Identify each medication as it is given
A patient is seen resting quietly; however, when the nurse enters the room, the patient grimaces and asks for more pain medication. What should the nurse do?
1. Tell the patient that medication cannot be provided at this time and leave the room. 2. Assess the level of pain and provide the requested pain medication. 3. Confront the patient and ask about the sudden demonstration of pain. 4. Refuse the medication and document that the patient appears to be faking the need for pain medication.
A nurse is required to plan the care of a client. Which is the correct sequence in which the planning of client care should be completed?
1 . Establishing expected outcomes 2 . Setting priorities 3 . Writing a nursing care plan 4 . Selecting nursing interventions A) 1, 2, 3, 4 B) 2, 1, 4, 3 C) 3, 1, 4, 2 D) 4, 1, 2, 3