A 60-year-old woman has been brought to the emergency department (ED) by ambulance after she experienced a sudden onset of dyspnea and phoned 911 . The woman is obese but claims an unremarkable medical history and denies chest pain

When assessing this patient, the nurse in the ED should be aware that:
A) Dyspnea is definitive for a respiratory, rather than cardiac, etiology.
B) The absence of known risk factors usually rules out myocardial infarction (MI) or angina as a cause of dyspnea.
C) Women often present with an MI much differently than do men.
D) Acute coronary syndrome (ACS) manifests with chest pain rather than with shortness of breath.


C

Nursing

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The nurse provides teaching for a patient who will begin taking bosentan [Tracleer] for pulmonary arterial hypertension (PAH). Which statement by the patient indicates a need for fur-ther teaching about this medication?

a. "I may take this medication with or with-out food." b. "I may develop irreversible liver damage while taking this drug." c. "I should not take cyclosporine while tak-ing this medication." d. "I will need to have lab tests every month while taking this drug."

Nursing

The nurse is caring for a client with cholecystitis. Which assessment finding indicates to the nurse that the condition is chronic rather than acute?

a. Abdomen that is hyperresonant to percus-sion b. Hyperactive bowel sounds and diarrhea c. Clay-colored stools and dark amber urine d. Rebound tenderness in the right upper quadrant

Nursing

A 25-year-old radio announcer comes to the clinic for an annual examination. His BMI is 26.0 kg/m2. He is concerned about his weight. Based on this information, what is appropriate counsel for the patient during the visit?

A) Refer the patient to a nutritionist because he is anorexic. B) Reassure the patient that he has a normal body weight. C) Give the patient information about reduction of fat, cholesterol, and calories because he is overweight. D) Give the patient information about reduction of fat and cholesterol because he is obese.

Nursing

Nursing mothers should use food and fluids containing caffeine in moderation. Caffeine can cause the baby to be fussy or gassy

Indicate whether the statement is true or false.

Nursing