A nurse in the emergency department is admitting a client.

Exhibits

For each of the following findings in the client's medical record, click to specify if they are consistent with angina or a myocardial infarction (MI). Each finding may support more than one disease process.

Provider consult

Client's initial report of manifestations

Treadmill stress test

Result of nitroglycerin therapy

12 Lead EKG report

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A,B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A,B"}}

1. Provider Consult

Angina: Not typically associated with immediate provider consultation.

MI: Requires immediate consultation for treatment decisions, such as medication or interventions.

2. Client's Initial Report of Manifestations

Angina: Can present with discomfort or pressure that is transient and relieved by rest or nitroglycerin.

MI: Can present similarly but is often more severe and sustained; discomfort may be a precursor to a myocardial infarction.

3. Treadmill Stress Test

Angina: Often used to provoke symptoms under controlled conditions for diagnosis.

MI: Not used during an acute phase; rather, diagnostics are performed through EKG and cardiac enzyme tests.

4. Result of Nitroglycerin Therapy

Angina: Relief from nitroglycerin indicates angina.

MI: Nitroglycerin might not provide relief; other treatments and diagnostics are needed.

5. 12 Lead EKG Report

Angina: ST depression and T-wave inversion can occur with angina.

MI: These EKG changes can indicate ischemia, which could be part of an acute MI if accompanied by other severe symptoms or in the presence of persistent symptoms.

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Free Nursing Study Resources

Correct Answer is ["A","C","D"]

Explanation

A. Hematuria is commonly expected following an ileal conduit procedure due to the surgical intervention in the urinary tract.
B. Mucus in the urine is a normal finding after an ileal conduit procedure because the ileum secretes mucus naturally; it does not require immediate notification of the provider unless there are other concerning symptoms.
C. Monitoring hourly urine output is crucial to ensure the patency of the urinary system and to detect any early signs of complications such as obstruction or leakage.
D. Applying a skin barrier around the stoma site is essential to protect the skin from the corrosive effects of urine and to prevent skin breakdown.
E. Fluid restriction is not typically required unless specifically indicated by the provider for other medical reasons; maintaining adequate hydration is important for the client's recovery and to ensure proper urine production.

A. Lateral segment of the right lower lobe B. Lateral segment of the left lower lobe C. Posterior segment of the right middle lobe D. Posterior segment of the right lower lobe

Correct Answer is A

Explanation

A. Lateral segment of the right lower lobe is the correct answer because placing the client on the left side in Trendelenburg position promotes drainage from the right lower lobe’s lateral segment by using gravity to mobilize secretions.
B. Lateral segment of the left lower lobe would require the client to be positioned on the right side rather than the left.
C. Posterior segment of the right middle lobe would require the client to be positioned in a different way, typically supine with a slight Trendelenburg tilt.
D. Posterior segment of the right lower lobe would require a prone position in Trendelenburg, not left-side lying.

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A nurse in the emergency department is admitting a client. Exhibits For each of the following findings in the client's medical record, click to specify if they are consistent with angina or a myocardial infarction (MI). Each finding may support more than one disease process.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning postoperative care for a client who is scheduled for an ileal conduit procedure. The nurse should include which of the following in the client's plan of care? (Select all that apply).

Correct Answer is ["A","C","D"]

Explanation

A nurse is performing pulmonary hygiene for a client who has pneumonia and positions the client on his left side in Trendelenburg position. From which of the following lung segments should the nurse expect secretions to be mobilized with the client in this position?

Correct Answer is A

Explanation

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A nurse in the emergency department is admitting a client.

Exhibits

For each of the following findings in the client's medical record, click to specify if they are consistent with angina or a myocardial infarction (MI). Each finding may support more than one disease process.