An older adult is admitted to the emergency department with dyspnea and a sudden change in level of consciousness. The nurse should assess first for which of the following disorders?

A) Myocarditis
B) Aortic aneurysm
C) Cor pulmonale
D) Myocardial infarction


Ans: D
Compared with younger adults, older adults experiencing a myocardial infarction are more likely to have dyspnea or neurologic symptoms, rather than chest discomfort. Older adults with angina and acute myocardial infarction are more likely to have subtle and unusual manifestations.

Nursing

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An African American youth, growing up in an impoverished neighborhood, seeks affiliation with a black gang. Soon he is engaging in theft and assault. What cultural consideration should a nurse identify as playing a role in this youth's choices?

1. Most African American homes are headed by strong, dominant father figures. 2. Most African Americans choose to remain within their own social organization. 3. Most African Americans are uncomfortable expressing emotions and seek out belonging. 4. Most African Americans have few religious beliefs, which contributes to criminal activity.

Nursing

A mother comes to the clinic with her 7-year-old son who has had a cold for 2 days. She has been giving the child an over-the-counter preparation for his cough. The mother tells the nurse the child has been very hyperactive since his illness

What would the nurse assessing this patient tell the mother? a. "Keep him busy. He will soon get tired and fall asleep." b. "All children act this way when they are ill and want attention." c. "Over-the-counter medication may cause reactions in children." d. "Over-the-counter medication is not strong enough to cause a reaction."

Nursing

With the progression of chronic renal disease, fluid restrictions are necessary. Which fluid intake schedule would be MOST appropriate for each 24-hour period?

a. 250 cc days; 200 cc evenings; 350 cc nights b. 300 cc days; 250 cc evenings; 250 cc nights c. 400 cc days; 200 cc evenings; 200 cc nights d. 500 cc days; 200 cc evenings; 100 cc nights

Nursing

An inexpensive and effective drug that may be used for its antiplatelet properties is ________.

Fill in the blank(s) with the appropriate word(s).

Nursing