A nursing student studying acute coronary syndromes learns that the pain of a myocardial infarction (MI) differs from stable angina in what ways? (Select all that apply.)
a. Accompanied by shortness of breath
b. Feelings of fear or anxiety
c. Lasts less than 15 minutes
d. No relief from taking nitroglycerin
e. Pain occurs without known cause
ANS: A, B, D, E
The pain from an MI is often accompanied by shortness of breath and fear or anxiety. It lasts longer than 15 minutes and is not relieved by nitroglycerin. It occurs without a known cause such as exertion.
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The nurse is caring for an obese client who is postoperative gastric bypass surgery. The nurse plans care directed at the client's specific risks for postoperative complications by excluding which implementation?
1. Elevating the head of the bed and holding food and fluids until gag reflex returns 2. Turning and repositioning the client until she can move independently 3. Encouraging coughing and deep-breathing exercises 4. Applying and maintaining antiembolism stockings
Pain experiences in labour can facilitate:
a. fetal demise. b. empowerment. c. disempowerment. d. use of pharmacological methods of pain relief.
The leadership team of a mental health facility is meeting to establish goals for the nursing staff. Which domain of psychological empowerment is supported when one goal is for the staff to select their own work schedules?
1. Meaning 2. Competence 3. Self-determination 4. Impact
The nurse is caring for a patient with an indwelling catheter. Which of the following would be included in routine nursing care? (Select all that apply.)
a. Encourage fluid intake. b. Use sterile technique when emptying the drainage bag. c. Secure the catheter to the patient's leg. d. Maintain a closed system. e. Clamp the catheter for 1 hour each shift. f. Remove the catheter as soon as possible.