A 65-year-old woman with no history of pulmonary or cardiovascular issues presents to the emergency department with nausea, fatigue, and fullness and pain of the abdomen. The nurse knows the assessment tests that will be ordered first will include:
Abdominal ultrasound and chest X-ray.
Test of the acidity of the gastric contents and assessment of the throat.
Electrocardiogram (EKG) and serum troponin levels.
Abdominal X-ray and colonoscopy.
The Correct Answer is C
Choice A reason:
Abdominal ultrasound and chest X-ray are not the first-line tests for a patient presenting with these symptoms. While they can be useful in assessing certain conditions, the priority in this case is to rule out cardiac causes, especially given the symptoms that could indicate a cardiac event.
Choice B reason:
Testing the acidity of gastric contents and assessing the throat is not relevant for the initial evaluation of these symptoms. While gastrointestinal issues can present with similar symptoms, the first step should be to rule out more serious cardiac causes.
Choice C reason:
Electrocardiogram (EKG) and serum troponin levels are the correct answer. These tests are critical in assessing cardiac function and identifying potential myocardial infarction or other cardiac issues. Given the patient's symptoms, which can be indicative of a cardiac event, these tests are prioritized to rule out any immediate cardiac threats.
Choice D reason:
Abdominal X-ray and colonoscopy are not appropriate first-line tests in this scenario. While they may be necessary later to investigate gastrointestinal issues, the primary concern given the patient's symptoms is to rule out cardiac events with an EKG and serum troponin levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
As mentioned earlier, infusion reactions are common with Amphotericin B, including symptoms like fever and chills. Therefore, recognizing that these reactions occur is correct and indicates a proper understanding of the medication's effects.
Choice B reason:
Rapid administration of Amphotericin B is incorrect because it increases the risk of severe side effects. The infusion should be slow to ensure patient safety, indicating that the student needs further teaching on this point. Thus, this choice is incorrect and suggests a misunderstanding.
Choice C reason:
Frequent rotation of the IV site or the use of a central line is standard practice to minimize the risk of phlebitis. This practice is correct and shows that the student understands how to manage the complications associated with Amphotericin B infusion.
Choice D reason:
Amphotericin B's primary use is to treat systemic fungal infections. This is a correct statement, reflecting an accurate understanding of the drug's purpose and does not require further teaching.
Correct Answer is D
Explanation
Choice A reason:
Nonadherence to the antiviral regimen could result in suboptimal control of the HIV infection, but it is not typically associated with symptoms of increased hunger, thirst, and frequent urination. Therefore, this choice does not explain the patient's symptoms.
Choice B reason:
An allergic reaction might cause a variety of symptoms, such as rash, itching, or swelling, but it would not typically cause increased hunger, thirst, and frequent urination. This choice is incorrect as it does not align with the presented symptoms.
Choice C reason:
Pancreatic infiltration by HIV is a rare and serious condition that can lead to various metabolic complications, but it is not a common cause of the specific symptoms described (increased hunger, thirst, and frequent urination). This choice is not consistent with the patient's symptoms.
Choice D reason:
Hyperglycemia, or high blood sugar, can cause symptoms like increased hunger, thirst, and frequent urination. These symptoms are indicative of diabetes, which can be a side effect of some antiviral medications, particularly protease inhibitors used in HIV treatment. Therefore, this choice accurately reflects the patient's symptoms and is the correct answer.
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