When assessing a patient, the nurse notes that the patient is unable to lie flat to breathe. When the nurse assists the patient into a sitting position, the patient is able to breathe more easily
What should the nurse document that the patient is experiencing?
a.
Dyspnea
b.
Cyanosis
c.
Jaundice
d.
Orthopnea
ANS: D
Orthopnea is an abnormal condition in which a person must sit or stand to breathe deeply or comfortably. It occurs in many disorders of the respiratory and cardiac systems.
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A) A halo effect B) A horns effect C) Central tendency D) A job dimension scale
A patient comes into the emergency department with complaints of chest pains. An ECG reveals an acute myocardial infarction taking place. You would expect the physician to take which ac-tion?
1. Send the patient directly to the cardiac unit for follow-up care. 2. Give the patient one aspirin and repeat the ECG. 3. Administer a thrombolytic agent for lysis of thrombi. 4. Administer heparin only to prevent potential bleeding of coronary arteries.
If a client has hypocalcemia, the nurse should also evaluate the client for:
1. Other electrolyte disturbances. 2. Hypertension. 3. Visual disturbances. 4. Drug toxicity.
The nurse recognizes that there are differences between fat-soluble and water-soluble vitamins. Which of the following is one of those differences?
A) Water-soluble vitamins are more essential to life than fat-soluble vitamins. B) Water-soluble vitamins attach to protein carriers to be transported through the blood. C) Water-soluble vitamins should be consumed daily. D) Water-soluble vitamins are stored primarily in the liver and adipose tissue.