M.R. indicates that usually the chest pain is relieved by his antacids, but this time they had no effect.A "GI cocktail" consisting of Mylanta and viscous lidocaine given at his physician's office briefly helpeddecrease symptoms
What tests can be done to determine the source of his problems?
General: detailed interview, history, and physical examination
Rule out (R/O) cardiac causes: serial 12-lead ECGs, cardiac enzymes CK-MB and troponin I,
echocardiogram, stress test, and cardiac catheterization if indicated
R/O pulmonary causes: chest x-ray (CXR), arterial blood gases (ABGs), nocturnal pulse oximetry,
D-dimer, hilar computed tomography (CT) scan of the chest
R/O gastroenterologic causes: esophagogastroduodenoscopy (EGD), abdominal ultrasound (US),
abdominal CT scan, urea breath test for Helicobacter pylori, blood test for Helicobacter pylori
antibodies
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A nurse in a cardiovascular ICU developed an intervention that she believes can reduce patient time on the ventilator post-operatively. She recruits study participants from the offices of cardiovascular surgeons. She randomizes the participants to two groups, a treatment group and a control group. She provides a novel teaching intervention along with a spirometer to each participant in the treatment group one week prior to their surgery. Participants in the control group received customary care. After each participant’s surgery, the researcher records the number of hours that they are on the ventilator post-operatively. Which statistical test should she select to determine the effects of her intervention on time spent on ventilator post-operatively
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A nurse is caring for a client with type 2 diabetes receiving a meglitinide. The nurse reviews the client's medical record based on the understanding that which condition would contraindicate the use of this drug?
A) Diabetic ketoacidosis B) Kidney disease C) Severe heart failure D) Liver disease
What maternity unit policies promote postpartal family wellness and shared parenting? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Mother–baby care or couplet care on the postpartum unit 2. Skin-to-skin contact between the mother and baby and the father and baby 3. Newborn kept in the nursery to allow mother to rest between feedings 4. Self-demand feeding schedule for both breastfed and bottle-fed infants 5. Limited visiting hours for the father so that the mother can sleep as needed