The nurse is assessing a patient with acute coronary syndrome. The nurse includes a careful history in the assessment, especially as it relates to symptoms. What symptoms can indicate acute coronary syndrome? (Mark all that apply.)
A) Dyspnea
B) Unusual fatigue
C) High blood pressure
D) Syncope
E) Cyanosis
Ans: A, B, D
Feedback: Systematic assessment includes a careful history, particularly as it relates to symptoms: chest pain or discomfort, difficulty breathing (dyspnea), palpitations, unusual fatigue, faintness (syncope), or sweating (diaphoresis). Each symptom must be evaluated with regard to time, duration, and the factors that precipitate the symptom and relieve it, and in comparison with previous symptoms.
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A 40-year-old man has come into the clinic with complaints of extreme pain in his toes. The nurse notices that his toes are slightly swollen, reddened, and warm to the touch. His complaints would suggest:
a. Osteoporosis. b. Acute gout. c. Ankylosing spondylitis. d. Degenerative joint disease.
Which of the following instructions will the nurse provide to a patient with inflammatory bowel disease regarding nutritional management of this condition?
A) Consume a bland, high-residue, high-protein, and high-vitamin diet. B) Consume a bland, low-residue, low-protein and low-vitamin diet. C) Consume a bland, low-residue, high-protein, and high-vitamin diet. D) Consume a bland, high-residue, low-protein, and low-vitamin diet.
An older patient who reports being "healthy enough to cut my own fire wood" is being assessed prior to outpatient surgery. The nurse recognizes which assessment observation as a possible result of the wear-and-tear theory?
a. Swollen finger joints b. Red, watery eyes c. Grimacing when raising left arm d. Bilaterally bruising on the forearms
The nurse establishes a Healthy Heart Club. Which the leading indicator of Healthy People 2020 does this program support?
A) Access to health care B) Physical activity C) Overweight and obesity D) Mental health