A 55–year-old smoker complains of chest pain and gestures with a closed fist over her sternum to describe it. Which of the following diagnoses should you consider because of her gesture?
A) Bronchitis
B) Costochondritis
C) Pericarditis
D) Angina pectoris
D) Angina pectoris
The clenched fist of Levine's sign, while not completely specific for ischemic pain, should definitely cause you to consider this etiology. Bronchitis is usually painless and pericarditis can produce a sharp pain which worsens with inspiration. This is called pleuritic pain and can be associated with pneumonia and other chest diseases. Costochondritis is a parasternal pain, usually well localized. It is exquisitely tender.
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In which of the following ways is a hospice nurse different from any other nurse who provides care to a client in the context of their family and home environment? (Select all that apply.)
a. Hospice nurses approach care in a holistic fashion. b. Hospice nurses continue to support the family after the client has died. c. Hospice nurses focus more on care and comfort than cure and control. d. Hospice nurses are expert in both physical and psychosocial care. e. Hospice nurses are more skilled at pharmaceutical pain management. f. Some hospice nurses see patients at home and others in institutions.
Which of the following is a sign of vitamin C deficiency?
a. Cheilosis (redness/swelling of the lips) b. Glossitis c. Spongy, bleeding, abnormal redness of the gingiva d. Spoon-shaped, brittle, ridged fingernails
While being comforted in the emergency department, a young school-age sibling of a pediatric trauma victim blurts out to the nurse, "It's all my fault! When we were fighting yesterday, I told him I wished he was dead!"
Which response is most appropriate by the nurse? 1. Asking the child if she would like to sit down and drink some water 2. Sitting the child down in an empty room with markers and paper so that she can draw a picture 3. Calmly discussing the catheters, tubes, and equipment that the patient requires and explaining to the sibling why the patient needs them 4. Reassuring the child that it is normal to get angry and say things that we do not mean but that we have no control over whether or not an accident happens
Tell whether the following statement is true or false. A nurse who fails to log off a computer after documenting patient care has breached patient confidentiality.
a. true b. false