The nurse is explaining the difference between the cause of acute coronary syndrome (ACS) and a myocardial infarction to a client and family. What should the nurse teach about these health problems?

1. ACS pain radiates to the jaw.
2. Myocardial infarction is characterized as gas-like pain.
3. The pain from ACS often occurs at rest or upon arising.
4. Pain from a myocardial infarction begins abruptly and is related to exercise.


Answer: 3

1. Pain from a myocardial infarction radiates to the jaw.
2. Clients describe the pain of a myocardial infarction as crushing.
3. Pain from ACS is often noted at rest or upon arising.
4. Pain from a myocardial infarction is abrupt and unrelated to exercise.

Nursing

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When caring for a postpartum woman experiencing hemorrhagic shock, the nurse recog-nizes that the most objective and least invasive assessment of adequate organ perfusion and oxygenation is:

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Seventy-two hours after cardiac surgery, a young child has a temperature of 101° F. Which action should the nurse take?

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A client is discharged from the hospital and will need to change his left leg dressing using sterile technique twice per day. To prevent the development of further infection, the client will need to:

A) wash hands for 1 minute, apply nonsterile gloves, remove the dressing, apply antibacterial waterless soap, and sterile gloves. B) wash hands for 30 seconds, remove the old dressing, rewash hands for 30 seconds, and apply a new dressing using forceps. C) cleanse hands with antibacterial waterless soap, apply sterile gloves and remove the old dressing, and apply the new dressing. D) wash hands for 1 minute, apply sterile gloves to remove the dressing, apply a new dressing, following cleansing with soap and water.

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