The nurse obtaining a health history on a 57-year-old patient admitted with an acute MI must remember to:
A) Ask the ICU technician to obtain an extensive history while she obtains the patient's vital signs
B) Focus on onset and severity of chest pain, later obtaining patient's vital signs
C) Focus on patient's vital signs and later obtain information of onset and severity of chest pain
D) Focus on patient's vital signs at the same time as obtaining information on onset and severity of chest pain
Ans: D
Feedback: With acute MI, the nurse must obtain information on onset and severity of chest pain while obtaining vital signs.
You might also like to view...
Parents of an infant with slow weight gain ask the nurse if they can feed their baby a highly concentrated formula. An appropriate response given by the nurse would be:
1. "A higher-concentrated formula could lead to dehydration because of high sodium content; let's discuss other strategies." 2. "An undiluted formula concentrate could be given to help the child gain weight; let's look at brands." 3. "Evaporated milk could be given to the infant instead of the current formula you're using." 4. "A higher-concentrated formula could be given for daytime feedings; let's work on a schedule."
The nurse is providing anticipatory guidance to an obese teenager. Which of the following interventions would be most likely to promote healthy weight in teenagers?
A) Make the focus of the program weight centered. B) Begin directly advising children about their weight at age 6. C) Focus physical activity on competitive sports and activities. D) Obtain nutritional histories directly from the school-age child and adolescent.
The nurse assesses a patient admitted with which of the following conditions for irreversible tissue damage and persistent tympanic membrane perforation?
A) Otosclerosis B) Middle ear effusion C) Chronic otitis media D) Otitis externa
Which measurements of intraocular pressure should the nurse recognize requires pharmacological intervention? Select all that apply.
A. A single reading of 14 mmHg. B. A consistent reading trending between 15 and 16 mmHg. C. A single reading of 19 mmHg. D. Readings consistently higher than 21 mmHg. E. A single reading of 32 mmHg.