The nurse suspects that a patient has pericarditis. What did the nurse assess to make this clinical decision?

Select all that apply.
1. pericardial friction rub
2. abdominal discomfort and nausea
3. chest pain
4. bradycardia
5. distended neck veins


Correct Answer: 1, 3
Pericardial friction rub and chest pain are hallmark signs of pericarditis. Abdominal discomfort, nausea, bradycardia, and distended neck veins are not associated with pericarditis.

Nursing

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An obese patient has asked her nurse practitioner to prescribe sibutramine. What variable will most affect the nurse's decision?

A) Sibutramine has been taken off the market due to adverse cardiovascular effects. B) Sibutramine is prohibitively expensive and is not covered by most insurers. C) The use of sibutramine requires weekly blood work. D) Sibutramine must be combined with an anticholinergic drug in order to potentiate its effects.

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A patient approaches the charge nurse and says, "I want to talk to the mental health advocate immediately about getting released." The unit has no patient phone, and agency policy does not permit patients to enter the nurses' station

Select the nurse's best initial action(s). You may select more than one answer. a. Tell the patient, "Get an order from your health care provider to leave the unit to make the call." b. Give the patient a pen and paper to write a note to the advocate. c. Provide the patient with a cell phone to make the call. d. Document the request in the patient's medical record. e. Promptly notify the advocate of the patient's request.

Nursing

A patient's current antiretroviral regimen includes nucleoside reverse transcriptase inhibitors (NRTIs). What dietary counseling will the nurse provide based on the patient's medication regimen?

A) Avoid high-fat meals while taking this medication. B) Limit fluid intake to 2 liters a day. C) Limit sodium intake to 2 grams per day. D) Take this medication without regard to meals.

Nursing

The best position to place the patient in to assess the lungs is:

A) Supine. B) Semi-Fowler's. C) Fowler's. D) Side-lying.

Nursing