A newly admitted patient is having generalized anxiety, headache with pain level 4/10, and shortness of breath at rest. How should the nurse prioritize these problems?
headache with pain level 4/10
Generalized anxiety
Shortness of breath
The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"C"},"C":{"answers":"A"}}
Shortness of breath is a first-level priority because it is a potentially life-threatening issue. It requires immediate attention to ensure the patient is not experiencing an acute respiratory or cardiovascular event.
Headache with pain level 4/10 is a second-level priority because it is uncomfortable but not immediately life-threatening. The nurse should assess the cause of the headache, considering anxiety and other factors.
Generalized anxiety is a third-level priority as it does not pose an immediate threat to life, but should still be addressed to improve the patient’s comfort and well-being.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This is the most appropriate time to perform a testicular self-examination because the scrotum is relaxed and easier to examine after warm water exposure.
B. The testicle is egg-shaped and movable, but it should not feel lumpy. Lumps or abnormal findings should be reported to a healthcare provider.
C. While this advice is helpful, it does not answer the question of when or how to perform the
examination.
D. A monthly exam is generally recommended, not weekly, to detect early signs of testicular cancer.
Correct Answer is D
Explanation
A. Dry mouth (xerostomia) may occur after a stroke, but it is not the most likely symptom when there is facial drooping, which suggests more significant swallowing and motor function issues.
B. Rhinorrhea (runny nose) is not directly associated with a stroke and would not typically be expected in this scenario.
C. Dysphagia (difficulty swallowing) is a common finding in patients who have suffered a stroke, particularly when there is facial drooping or difficulty with facial muscle control.
D. Nosebleeds are not directly linked to stroke symptoms and are unlikely to be caused by the facial drooping.
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