The nurse is caring for a patient diagnosed with variant angina. What should this diagnosis indicate to the nurse?
A. Associated with renal disease
B. Associated with pulmonary disease
C. Presence of coronary artery spasm
D. Presence of a myocardial infarction
Answer: C
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Which will the nurse include when assessing for high-risk behaviors during the cultural assessment process
1) Disease processes 2) Health conditions 3) Biological variations 4) Recreational drug use
The nurse evaluates the venipuncture site before leaving the client's room with the blood specimen. Which nursing observation is an unexpected outcome?
1. A dot of blood covers the venipuncture site. 2. Heart rate is stable and regular at 80 beats/min. 3. A soft subcutaneous lump appears at venipuncture site. 4. The client complains of stinging with removal of needle.
To evaluate the effectiveness of the pantoprazole (Protonix) ordered for a patient with systemic inflammatory response syndrome (SIRS), which assessment will the nurse perform?
a. Auscultate bowel sounds. b. Palpate for abdominal pain. c. Ask the patient about nausea. d. Check stools for occult blood.
The patient has been a victim of a violent, sadistic rape. She is crying, and asks the nurse "Why would someone do something like that?" The nurse should explain that the primary purpose of sadistic rape is to:
1. Take pleasure from the victim's struggle and pain. 2. Express feelings of rage. 3. Feel a sense of power or mastery. 4. Relieve intolerable anxiety.