The nurse working in the cardiologist's office receives a call from a client diagnosed with angina reporting that he is having chest pain. He has taken nitroglycerine three times, five minutes apart, and is still having chest pain
The nurse provides what instruction to the client? 1. "Have your spouse bring you to the office immediately."
2. "Take three more nitroglycerine tablets at the same time."
3. "Take two aspirin and rest, and call back if the pain does not improve."
4. "Call 911 as soon as we hang up, and lie down until the ambulance arrives."
4
Rationale: The client's unrelieved chest pain could indicate a myocardial infarction, and the client should call 911 and lie down until the ambulance arrives. Delay in care can cause increased cardiac damage.
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The nurse is conducting a literature review to determine the statistical results of all related studies. This type of review is known as:
a. a meta-analysis. b. an integrative literature review. c. a systematic review. d. grounded theory research.
Which older patient is at greatest risk for mistreatment in the home?
1. An active older patient with well-controlled diabetes who lives alone 2. A healthy older patient who is retired from owning a business and lives with an adult son 3. An older patient with a history of coronary bypass surgery, is active, and lives with the spouse 4. An older patient with severe osteoarthritis and macular degeneration who lives with a single daughter who has an adult son with cerebral palsy
A patient has a decreased step height and length with increased step speed. He appears to hesitate both in initiating and in terminating ambulation. Which pathology is he most likely experiencing?
a. multiple sclerosis c. cerebellar disease b. Parkinson's disease d. Alzheimer's disease
A 30-year-old client who had an amputation of his left leg above the knee complains that he often feels the presence of the absent body part. He occasionally experiences pain and an itching sensation over the amputated portion of the leg
The client is diagnosed with phantom limb pain. What nursing measures and client teaching must the nurse employ when caring for this client? A) Explain that the condition is rare and occurs because of infections. B) Instruct the client to ask for pain medication, if needed. C) Explain that the condition does not interfere with prosthetic fitting. D) Encourage the client to place a pillow under the stump when sleeping.