The nurse is performing a focused interview with an adult male client who recently experienced a myocardial infarction. The nurse requests information about how he felt during the time of the myocardial infarction
Which client statement would be unexpected?
1. "I couldn't catch my breath."
2. "My chest didn't actually ever hurt."
3. "My wife said I looked like someone poured water all over me."
4. "I got so sick to my stomach."
Correct Answer: 2
Typically, males who are experiencing a myocardial infarction will complain of dyspnea, and chest pain that is prolonged, dull, and radiates to the shoulder or jaw. In males, the pain is often accompanied by diaphoresis and they may complain of nausea. Females are more likely to experience nausea and vomiting, indigestion, shortness of breath, or extreme fatigue, without actual chest pain.
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A 67-year-old patient states that he recently began to have pain in his left calf when climbing the 10 stairs to his apartment. This pain is relieved by sitting for approximately 2 minutes; then he is able to resume his activities
The nurse interprets that this patient is most likely experiencing: a. Claudication. b. Sore muscles. c. Muscle cramps. d. Venous insufficiency.
The nurse is working the triage, phone answering questions about the radiologic disaster. When in the fallout period of the disaster, which suggestion is most appropriate?
A) Stay with friends and family in an outdoor area with good ventilation. B) Remove all outer garments before entering a house or shelter. C) Use a fan to circulate air from the outdoors to the inside. D) Bring all outdoor pets inside to limit their exposure.
Which of the following drugs necessitates frequent assessment of the patient's IV site?
a. Methysergide (Sansert) b. Terazosin (Hytrin) c. Ergotamine (Ergomar) d. Dopamine (Intropin)
The family of one of your patients who is comatose asks you why the physician is recommending the removal of the patient's NG tube and the insertion of a gastrostomy tube. What would be your best answer?
A) It is more comfortable for the patient. B) It is less permanent. C) Regurgitation and aspiration are less likely. D) It is easier to feed the patient.