A 52-year-old patient presents with malaise, fatigue, chest congestion, and a chronic cough. While collecting assessment data, an important question to ask is

When did these symptoms start?"

What is your occupation?"

Do you have a headache?"

Do you have any abdominal pain?"

Answer and Explanation

The Correct Answer is B

A.   While understanding the onset of symptoms is important, the patient's occupation might provide more insight into potential environmental or work-related exposures that could explain the symptoms, such as chronic exposure to irritants or pollutants.

B.   The occupation is highly relevant, as it may help identify occupational hazards, such as exposure to chemicals, dust, or other respiratory irritants, which could be contributing to the symptoms.
C.   Although a headache could be related to fatigue or other symptoms, it is not the most relevant question in this case.
D.   Abdominal pain is less likely to be the focus when the primary symptoms are chest congestion and a cough, which suggest respiratory involvement.

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Correct Answer is C

Explanation

A. Keeping the patient on bed rest is appropriate as it conserves energy and helps prevent further heat loss.
B. Providing additional blankets is a correct intervention to warm the patient gradually.
C. Increasing muscle activity is contraindicated because it could cause vasoconstriction and worsen hypothermia, as the body focuses on preserving core temperature.
D. Offering fluids (if permitted) is correct as hydration can help restore normal body temperature regulation.

A. 7 B. 12 C. 10 D. 15

Correct Answer is D

Explanation

A. A score of 7 would indicate a much lower level of consciousness and require urgent intervention.
B. A score of 12 would indicate some level of impairment, with the patient not fully alert or responsive.
C. A score of 10 would indicate some level of impairment, with the patient not fully alert or responsive.
D. A score of 15 on the Glasgow Coma Scale indicates full consciousness and normal neurological function. It is the highest possible score, reflecting a patient who is awake, aware, and able to follow commands.

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A 52-year-old patient presents with malaise, fatigue, chest congestion, and a chronic cough. While collecting assessment data, an important question to ask is

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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