When planning care for a patient with acute chest pain, which of the following nursing interventions should receive highest priority?
1. administer morphine IV
2. apply pulse oximetry
3. draw serum cardiac markers
4. obtain 12-lead ECG
4
Rationale: An initial ECG should be obtained within the first 10 minutes of chest pain or being admitted to the emergency department. This will help differentiate potential candidates for reperfusion from UA and NSTEMI. Morphine is given if chest pain is unrelieved by nitroglycerin. Cardiac markers and pulse oximetry are initiated after obtaining an ECG.
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A patient is visiting the clinic for an evaluation of a swollen, painful knuckle. The nurse notices that the knuckle above his ring on the left hand is swollen and that he is unable to remove his wedding ring. This joint is called the _________ joint
a. Interphalangeal b. Tarsometatarsal c. Metacarpophalangeal d. Tibiotalar
A woman in the perinatal clinic is upset that her impending childbirth will cause her to lose her job. What assessment question by the nurse would yield the most important information regarding this situation?
A. "After you give birth, you will probably want to quit your job anyway." B. "Can you make an appointment with human resources to discuss this?" C. "Where do you work and how long have you been there?" D. "Why do you think you will be fired after your baby is born?"
The nurse is performing a focused interview and eye assessment on a client
The nurse suspects that the client is experiencing problems associated with her vision based on which of the following pieces of data? Standard Text: Select all that apply. 1. The client is frowning and squinting while she is reading the Snellen chart. 2. The client exhibits a symmetrical pupillary light reflex response. 3. As the nurse checks for accommodation, the pupils remain dilated. 4. The client's near vision acuity is 14/14 bilaterally. 5. When the cornea is lightly touched in the right eye, both eyelids close.
104.56 : 100 = ____________
Fill in the blank(s) with correct word