A 72-year-old woman is brought to the ED by her family. The family states that she's "just not herself."
Her respirations are slightly labored, and her heart monitor shows sinus tachycardia (rate 110 beats/min) with frequent premature ventricular contractions (PVCs). She denies any chest pain, jaw pain, back discomfort, or nausea. Her troponin levels are elevated, and her 12-lead electrocardiogram (ECG) shows elevated ST segments in leads II, III, and AVF. The nurse knows that these symptoms are most likely associated with which diagnosis?
a. Hypokalemia
b. Non–Q wave MI
c. Silent myocardial infarction
d. Unstable angina
C
Some individuals may have ischemic episodes without knowing it, thereby having a "silent" infarction. These can occur with no presenting signs or symptoms. Asymptomatic or nontraditional symptoms are more common in elderly persons, in women, and in diabetic patients.
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A functional assessment is the most appropriate type of evaluation of well older patients. A basic component of the functional assessment is:
A. Activities of Daily Living (ADL) score B. Instrumental Activities of Daily Living (IADL) score C. 10-minute Screener for Geriatric Conditions D. All of the above
After receiving patient education about erythropoietin, the patient states that for the medication to be effective, the body must have sufficient amounts of which of the folllowing? (Select all that apply.)
a. Vitamin B6 b. Folic acid c. Calcium d. Vitamin B12 e. Iron
When conducting a health history on a late school-age client, what would the nurse document as a dysmorphic feature?
1. A repaired cleft palate 2. A 10% burn to the face 3. A severed finger 4. A flat anterior fontanel
A home health nurse felt overwhelmed and asked to be assigned to a better neighborhood. Why would the agency supervisor decline to change the nurse's assignment?
a. Although the nurse is just beginning to assess the families, the nurse's continued efforts to visit and support the families will be therapeutic. b. Lots of nurses are willing to work in nice neighborhoods; most agencies need nurses who are willing to work in poor, needy neighborhoods. c. The nurse had signed a contract and must work where assigned, regardless of personal feelings. d. The nurse is capable of learning about how to improve interactions with these families and will do better with experience.