A patient you are seeing in the emergency department for chest pain is believed to be having a myocardial infarction. During the health history interview of his family history, he relates that his father had died of "heart trouble."

The most important follow-up question you should pose is which of the following? a. "Did your father have coronary bypass surgery?"
b. "Did your father's father have heart trouble also?"
c. "What were your father's usual dietary habits?"
d. "What age was your father at the time of his death?"


D
A family history of sudden death, particularly in young and middle-aged relatives, significantly increases one's chance of a similar occurrence.

Nursing

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The nurse is reviewing a client's history and notes that the client is taking large doses of vitamin supplementation. The nurse is concerned because:(Select all that apply) Standard Text: Select all that apply

1. Some vitamins are required in daily amounts less than 100 mg 2. Fat soluble vitamins can be stored, and therefor there is a danger of toxicity 3. Fat soluble vitamins may require extra supplementation because they cannot be stored in the body from day to day 4. Water soluble vitamins can cause toxicity 5. Microminerals are needed in amounts under 100 mg

Nursing

The nurse is caring for a critically ill patient who has experienced multiple trauma. The patient has high levels of pain from the injury and is receiving an intravenous opioid as treatment

In managing the patient's pain, what nursing action best demonstrates understanding of other factors that exacerbate pain in the critically ill patient? A) Provide supportive care without discussing it with the patient. B) Limit visits to immediate family for a few minutes at a time. C) Minimize care tasks during normal hours of sleep. D) Give higher doses of intravenous opioid as needed.

Nursing

An older adult client presents to the emergency room with a severe acid-base imbalance after taking "cold medicine" for a week. The client has a history of arthritis and reports daily use of aspirin. Which late effect acid-base imbalance does the nurse suspect the client is experiencing?

A) Respiratory alkalosis B) Respiratory acidosis C) Metabolic alkalosis D) Metabolic acidosis

Nursing

Ordered: NovoLog insulin 8 units subcut ac tid a. Mark the dose on the syringe

b. Is this a rapid-, intermediate-, or long-acting insulin? c. What does U 100 mean?

Nursing