Author Question: Margaret is a 47-year-old woman with diabetes who called the clinic complaining of epigastric pain ... (Read 74 times)

xroflmao · **on:** Jul 22, 2018

Margaret is a 47-year-old woman with diabetes who called the clinic complaining of epigastric pain and shortness of breath. Debbie, the nurse, answered Margaret's call. What is her best re-sponse to Margaret?

A. We don't have an opening until next week.
B. Does the pain get worse with activity?
C. Have you taken any antacids yet?
D. Hang up and call 9-1-1.

Question 2

John, a student nurse, is responsible for assessing a patient, who is abrupt with John and requests that the assessment be done later by a nurse.

As John charts the interaction, which of the following statements is the best way for John to document what happened? A. Appears to be in pain as evidenced by his grouchy behavior
B. Behavior is inappropriate, requests registered nurse do the assessment
C. States, I would prefer a registered nurse to do my assessment
D. Is grumpy, registered nurse notified

mathjasmine · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
Cardiac pain does not occur with respiratory variations. It is most often substernal and typically radiates to the left arm and jaw in men. Some women have epigastric pain, complaints of indi-gestion, or a choking feeling and dyspnea. The nurse should assess further.

Answer to Question 2

C
When a nurse collects objective data, he or she should apply critical thinking intellectual standards (e.g., clear, precise, and consistent). Nurses do not include personal interpretive statements.