Nursing 211

N211: Health Differences Across the Lifespan I

20. Which question would be most effective for obtaining information about the patient’s chest discomfort? a. Are you having pain in your chest? b. Describe what you are felling in your chest right now. c. Are you feeling pressure or squeezing in your chest? d. Have you ever had this pain before? 21. Knife-like pains in the chest area usually indicate: a. pleuritis b. Bronchopneumonia c. Pulmonary edema d. Congestive heart failure 22. The goal of discharging a patient with hypertension should be: a. The patient will know how to correctly administer his own medications. b. The patient will know how to take his own blood pressure. c. The patient will be able to discuss personal stressors and effective methods of coping. d. The patient will understand the dangers of hypertension. 23. Excessive intake of digoxin (Lanoxin) would most likely result in which symptom? a. Tetany b. Hypertension c. Constipation d. Blurred vision

24. Which finding would be most indicative that your measures to increase cardiac output have been successful? a. Increased heart rate b. Increased urinary output c. Regular heartbeat pattern d. Decreased respiratory rate 25. Which statement indicates that your teaching has been effective in helping a patient with congestive heart to increase his endurance? a. I take two sublingual nitroglycerin tablets 30 minutes before exercising. b. I get all my errands done at one time so I can have a longer period or uninterrupted rest late in the day. c. I have asked my son to run all my errands for me. d. I use pursed lip breathing during exercise. 26. A patient who is being discharged to home with a prescription for sublingual nitroglycerin should be given what instruction? a. Keep the medication in a dark, closed container. b. Discard the remaining tablets every 3 months. c. Discard the tablets if they sting the tongue when administered. d. A blood test must be done every four weeks to assure adequate serum levels.

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