You work in a cardiology clinic, and you are assessing a patient who had a pacemaker implanted 6 weeks ago. What would be important for you to assess this patient for?
A) Ineffective intake related to fear of having to much blood
B) Inadequate exercise related to fear of pacemaker failure
C) Inadequate support system related to living alone
D) Ineffective coping with the implantation
Ans: D
Feedback: The patient is also assessed for anxiety, depression, or anger, which may be symptoms of ineffective coping with the implantation.
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A nurse discussing birth control options for a Roman Catholic patient should encourage:
a. abstinence. b. vasectomy. c. tubal ligation. d. oral contraceptives.
An 83-year-old patient is admitted with a temperature of 102° F (38.8° C), chest pain, and fatigue. The chest radiograph reveals an accumulation of fluid in the pleural space, which the physician removes by performing a thoracentesis
The nurse correctly records the purulent exudate as: a. effusion. b. emphysema. c. sputum. d. empyema.
A patient with acute coronary syndrome has received thrombolytic therapy. The nurse would monitor and report which findings that indicate this therapy was successful?
1. Respiratory rate of 18 per minute 2. Resolution of ST segment elevation 3. Resolution of chest pain 4. Occurrence of premature ventricular complexes 5. Occurrence of a headache
What is a question to ask for which evidence can be sought in a literature review for the issue of conceptualizing the problem?
A) What it the content of other similar interventions? B) Is the presence of certain types of components linked to better outcomes? C) What is known about the nature and causes of this problem and possible solutions? D) Are interventions general or individualized?