The client with a history of stable angina states that he has recently experienced an increase in the number of attacks and the intensity of the pain. What should the nurse suspect?
A. The client continues to have stable angina
B. The client has developed unstable angina
C. The client has experienced an acute MI
D. The client has a subendocardial necrosis
B
An increase in the number of anginal attacks and an increase in the intensity of pain characterize unstable angina. The chest pain or discomfort also occurs at rest or with minimal exertion, causing marked limitations on activity.
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The nurse cares for a client who has sustained a trauma. While assessing the client, the client begins to exhibit dyspnea, distended neck veins, and tracheal deviation to the left side. What condition does the nurse expect?
A) A right tension pneumothorax B) A left open pneumothorax C) A bilateral hemothorax D) A flail chest
A nurse practitioner documents as follows:
"Patient reports pain and tenderness over area of right ovary and a history of irregular menses." With which of the following diagnoses are these findings consistent? A) Ovarian cyst B) Salpingitis C) Pelvic inflammatory disease D) Ovarian cancer
On routine screening you notice that the cup-to-disc ratio of the patient's right eye is 1:2. What ocular condition should you suspect?
A) Macular degeneration B) Diabetic retinopathy C) Hypertensive retinopathy D) Glaucoma
A client says to the nurse, "I was cheating on my lover because I need the thrill of seeing someone new, and now my lover has left me to go live with this other woman. I know that this other woman wants more than friendship from my lover, and I can't make my lover see that I love her and that my affairs are meaningless. I don't want to lose her, but I can't stop cheating, because I need the thrill it brings." Which statement by the nurse would be therapeutic?
A. "So she's left you for cheating on her. If you can't be monogamous, I guess you'll have to be content with one-night stands." B. "I'm confused. What is it that you've come to me for? It sounds like your lover refuses to share her lover with others, no matter how trivial the dalliances." C. "Perhaps your task is not to make your lover see that your dalliances are meaningless but to look at your own behavior and determine what you would like or not like to be different." D. "It sounds like you want to have your cake and eat it, too. If you can't have both things, which would you prefer — the thrills of one-night stands or the steady support of a loving relationship?"