While conducting a patient's health history, the nurse learns that the patient has worked at a landfill for the last 35 years. Why should the nurse find this information significant?
1. Explains possible exposure to environmental toxins
2. Helps understand the patient's lack of communication skills
3. Validates that the patient is an older adult
4. Confirms the patient's level of education
Correct Answer: 1
The patient's occupation could involve exposure to such toxins as arsenic, coal, tar, creosote, and/or petroleum products. Working at a landfill is a risk factor for skin cancer. It has no bearing on a patient's communication skills, age, or education level.
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The patient was admitted with an acute myocardial infarction several days ago and is now complaining of severe midsternal chest pain at rest and dyspnea. The pain is constant, more severe when the patient lies down, and unaffected by medications
What is the best nursing intervention? A) Obtain cardiac marker blood tests to assess for reinfarction. B) Auscultate for pericardial and pleural friction rubs. C) Auscultate for new onset of S3 heart sound. D) Prepare the patient for cardiac catheterization.
Part of the facility's performance evaluation is based on the nurse's strength in the three types of decisions
During a nurse manager's performance evaluation the supervisor says, "You are very good at adaptive decisions, but you need to be more precise in routine decisions. When the situation calls for really innovative decisions, you do not seem sure of yourself." How should the manager interpret this information? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "I am not following the policies and rules well." 2. "I should review the procedure manual." 3. "I'm good at using my previous experiences to guide my decisions." 4. "I am strongest in making decisions when the problems are very unusual or unclear." 5. "I make good decisions when the situation is novel."
Order: Amphotericin B 20 mg in 300 mL D5W over 6 hours. The administration set delivers 60 gtt/mL. _____
a. 15 gtt/min b. 20 gtt/min c. 50 gtt/min d. 60 gtt/min
In using nitrate products for coronary artery disease, the nurse instructs the patient about the benefits of taking nitrates using which of the following responses. (Select all that apply.)
1. Oxygen demands are reduced in the heart. 2. Small blood vessels are increased in the heart. 3. The inner heart has less oxygen supply. 4. Oral nitrates are changed in the liver to inactive products.