A 51-year-old male is at his health clinic for an annual physical exam. After walking from the car to the clinic, he developed a substernal pain. He also reported discomfort in his left shoulder and his jaw, lasting 2 to 3 minutes and then subsiding with rest. He indicates that this has occurred frequently over the past few months with similar exertion. He is most likely experiencing:
A. stable angina.
B. unstable angina.
C. Prinzmetal angina.
D. myocardial infarction.
Ans: A. stable angina.
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A patient has been extremely fatigued for the past 2 months and is having difficulty lifting even light objects at work. The physician suspects myasthenia gravis (MG) and asks the nurse to assist with a Tensilon test
What patient response to the Tensilon test leads the nurse to suspect myasthenia gravis? a. The patient's ptosis is temporarily improved. b. The patient becomes dyspneic. c. The patient's muscles become very weak. d. The patient develops muscle cramps.
A patient comes into the emergency department with symptoms of an overdose. You would expect the physician to order you to give what medication?
1. Naloxone (Narcan) 2. Codeine sulfate 3. Fentanyl (Duragesic) 4. Meperidine (Demerol)
What should you consider before taking emergency actions?
A) What you can do as a nursing assistant? B) Is there anyone to help you? C) Can the person in crisis be moved? D) all of the above
A nurse is assessing for vocal (tactile) fremitus on a client with pulmonary edema. Which is the appropriate technique to use?
a. Systematically percussing the posterior chest wall following the same pattern that is used for auscultation while listening for a change in tone from resonant to dull b. Placing the pads of the fingers on the right and left thorax and palpating the texture and consistency of the skin feeling for a crackly sensation under the fingers c. Placing the palms of the hands on the right and left thorax, asking the client to say "99," and feeling for vibrations d. Placing both thumbs on either side of the client's spinal processes, extending fingers laterally, asking the client to take a deep breath, and feeling for vibrations