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 B
Explanation
A. Muscle atrophy, which typically occurs in older adults, may actually reduce BMI, not increase it, because muscle mass decreases with age.
B. Height may decrease due to changes in bone density. As people age, bone density decreases, and the vertebrae can compress, leading to a loss in height. This is a common occurrence in older adults.
C. Increased skin elasticity will affect the waist-hip ratio. Skin elasticity does not directly affect the waistto-hip ratio. The waist-to-hip ratio is more related to fat distribution than to skin elasticity.
D. Increased muscle mass will affect the mid-arm circumference measurements. Older adults typically experience muscle loss, not an increase in muscle mass, so this statement would not be accurate for an elderly client.
Correct Answer is C
Explanation
A. Flexion involves decreasing the angle between two body parts, such as bending the knee or elbow, not moving the leg laterally.
B. Abduction is the movement of a body part away from the midline of the body. In this case, moving the leg laterally fits this description.
C. Adduction refers to movement toward the body's midline, the opposite of abduction.
D. Extension involves straightening a body part, such as straightening the knee, which does not match the description of moving the leg laterally and medially.
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