A nurse is assessing a patient who was admitted to the emergency room for chest pain. Which of the following interventions should the nurse prioritize?
Complete an electrocardiogram.
Obtain a C-reactive protein level.
Administer an anti-hypertensive medication.
Complete an echocardiogram.
The Correct Answer is A
Rationale:
A. Completing an electrocardiogram (ECG) is a priority in assessing a patient with chest pain to evaluate for signs of acute myocardial infarction or other cardiac abnormalities.
B. Obtaining a C-reactive protein level may be useful in certain situations to assess inflammation, but it is not a priority in the acute management of chest pain.
C. Administering an anti-hypertensive medication is not a priority unless the patient's blood pressure is significantly elevated and causing acute symptoms.
D. Completing an echocardiogram may be indicated later in the assessment process but is not typically performed immediately in the emergency room for evaluation of chest pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Deep vein thrombosis typically presents with symptoms such as leg swelling, pain, warmth, and redness, but not necessarily with cramping leg pain that is relieved with rest.
B. Intermittent claudication is a classic symptom of peripheral arterial disease, characterized by cramping leg pain that occurs with exercise and is relieved with rest.
C. Venous insufficiency presents with symptoms such as leg swelling, varicose veins, and aching or heaviness in the legs, but not necessarily with cramping leg pain that is relieved with rest.
D. Neuropathy may cause various sensory symptoms in the legs, such as numbness, tingling, or burning, but it is not typically associated with cramping leg pain that is relieved with rest.
Correct Answer is ["30"]
Explanation
Infusion rate (gtt/min)= Volume to be infused (gtt)/ Time for infusion (min)
Total volume to be infused=Rate×Time
Total volume to be infused=150 mL/hr×10
Total volume to be infused=1500mL
Convert the total volume to be infused to drops using the drop factor:
Total volume in drops=Total volume to be infused×Drop factor Total volume in drops=1500 mL×12 gtt/mL
Total volume in drops=18000gtt
Divide the total volume in drops by the total time in minutes:
Infusion rate (gtt/min)=18000 gtt/ 10× 60 minInfusion rate (gtt/min)= 30gtt/min
So, the nurse should set the manual IV infusion to deliver 30 gtt/min.
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