A 28-year-old presents to the ER reporting severe chest pain that worsens with respirations or lying down. Other signs include a fever, tachycardia, and a friction rub. Assessment findings support which medical diagnosis?
a. Acute pericarditis
b. Myocardial infarction (MI)
c. Stable angina
d. Pericardial effusion
ANS: A
Severe chest pain that worsens with respirations or lying down in a patient with fever, tachycar-dia, and a friction rub is characteristic of acute pericarditis. MI pain does not worsen with respi-rations. Stable angina does not worsen with respiration or lying down. Pericardial effusion is not manifested by these symptoms.
You might also like to view...
Which actions would the nurse categorize as traditional mental HEALTH maintenance?
A. Activities to concentrate and stimulate the mind B. Avoiding physically demanding hobbies C. Using medications to preserve chemical balance in the brain D. Wearing head covering in the cold to preserve head warmth
The nurse is counseling a client with herpes simplex virus (HSV) infection. Which of the following would best meet most clients' needs in coping with this diagnosis?
a. Contact information for a support group b. Information about promising drug trials c. Websites containing STD information d. Written information about the disease and treatment
Certain groups of individuals are opposed to the Patient Protection and Affordable Care Act (PPACA) based on religious beliefs that prohibit circumcision and blood transfusions. These individuals believe the PPACA is unconstitutional because it:
a. mandates that all U.S. and legal residents must secure health insurance. b. replaces current Medicare and Medicaid plans. c. requires all citizens to participate in offered preventive services. d. prohibits use of health practices outside of Western medicine.
The nurse is caring for a 52-year-old female client who is in the end stage of breast cancer. The nurse administers a medication that allows the client to be largely pain free. She assists the client to take a shower,
brush her teeth, and change her clothing. As the client sits in a chair, the nurse changes her bedding and then assists the client back to bed, placing an ice pack on her back for pain. All of these actions are examples of A) positioning and good hygiene. B) nonpharmacologic pain intervention. C) use of cutaneous treatment. D) comprehensive nursing care.