A patient with an acute myocardial infarction has received three nitroglycerin tablets, oxygen, and aspirin and is still complaining of severe crushing chest pain. What is the best nursing action?

A) Give 5 mg intravenous morphine.
B) Assess for drug-seeking behavior.
C) Give intravenous benzodiazepine.
D) Use anxiety reduction measures.


A

Nursing

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The nurse responds to a mother who is crying and saying, "There's something wrong with my baby. There's blood in the diaper." The nurse looks at the diaper and sees a small drop of blood in the diaper, and notes some on the infant's vagina

The nurse's best response is: 1. "I will take the baby to the nursery and call the pediatrician." 2. "This is a normal occurrence called pseudomenstruation caused by the loss of maternal hormones." 3. "Did you scratch the baby when you changed her diaper?" 4. "I will need to take the baby to the nursery and notify Social Services."

Nursing

Which client(s) should the nurse refer to a genetics practitioner prior to attempting pregnancy?

1. 32-year-old woman and 29-year-old man with 3-year-old twins 2. 22-year-old woman whose sister has Tay-Sachs disease 3. 30-year-old woman whose husband has AIDS 4. 19-year-old woman whose sister has primary infertility

Nursing

The client who has obstructive sleep apnea is being treated with a nasal continuous positive airway pressure (CPAP) device, but has just been prescribed modafinil (Provigil)

What client statement indicates that teaching about these therapies has been effective? 1. "I am so glad that I won't have to sleep in this machine anymore." 2. "Once I get regulated on the Provigil, I will wean myself off the CPAP." 3. "I will continue using my CPAP machine at night." 4. "I can turn down the pressure on my CPAP machine in about 1 week."

Nursing

The client is seen in the emergency department for heat exhaustion as a result of exposure. Which of the following does the nurse anticipate that treatment will include?

a. Replacement of fluid and electrolytes b. Antibiotic therapy c. Hypothermia wraps d. Alcohol baths

Nursing