Author Question: A patient reports chest pain. The nurse is attempting to assess the pain to differentiate the pain ... (Read 143 times)

karen · **on:** Jul 22, 2018

A patient reports chest pain. The nurse is attempting to assess the pain to differentiate the pain as cardiac, respiratory, or gastrointestinal.

The nurse can properly identify the pain as cardiac in origin when the patient states that the cardiac pain: a. does not occur with respiratory variations.
b. is peripheral and may radiate to the sca-pular areas.
c. is aggravated by inspiratory movements.
d. is nonradiating and occurs during inspira-tion.

Question 2

After experiencing an ST-wave elevation myocardial infarction, a 64-year-old man has been admitted to the cardiac unit of the hospital for care.

The nurse has completed a comprehensive assessment and is creating a plan of care that is holistic in its focus. How can the nurse best integrate the principles of holism into the client's care? A) By creating a plan of care that utilizes the knowledge and skills of disciplines other than nursing
B) By continually evaluating the efficacy of nursing interventions and by making changes as needed
C) By prioritizing the client's spiritual and psychosocial needs over his physical needs
D) By integrating each of the various dimensions of the client's identity into his care

FergA · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
Cardiac pain does not occur with respiratory variations. Cardiac chest pain is most often subs-ternal and radiates to the left arm and jaw in men, but some women have epigastric pain, com-plaints of indigestion, or a choking feeling and dyspnea. Pericardial pain results from an inflam-mation of the pericardial sac and is usually nonradiating and often occurs with inspiration. Pleu-ritic chest pain is peripheral and usually radiates to the scapular region. Inspiratory maneuvers aggravate pleuritic chest pain.

Answer to Question 2

D
Feedback:
Holism is considered to be the sum of physical, emotional, social, and spiritual health. Care that reflects this multidimensional nature of individuals can be considered to be holistic. Interdisciplinary care and continual evaluation are congruent with holistic care but they are not definitive. It is not appropriate to prioritize nonphysical needs in every client; prioritization of needs should be determined on an individual basis.