A nurse is caring for a client in the clinic
Complete the following sentence by using the list of options.
The nurse should first address the client's
The Correct Answer is {"dropdown-group-1":"C"}
- Chest pain: Crushing, retrosternal chest pain is highly suggestive of cardiac ischemia or acute coronary syndrome. It requires immediate evaluation due to the risk of myocardial infarction. The presence of fatigue and weakness adds to the urgency. Chest pain is always prioritized due to its life-threatening potential.
- Visual disturbance: Visual changes may indicate hypertension, hyperglycemia, or neurological issues. While concerning, they are typically not immediately life-threatening. These symptoms can be evaluated after cardiac causes are ruled out. They support further systemic investigation.
- Fatigue: Fatigue is a nonspecific symptom seen in many chronic conditions like diabetes, anemia, or heart failure. It does not signal an emergency on its own. It may be related to underlying cardiac issues but is not prioritized over chest pain.
- Increased urination: Polyuria often indicates uncontrolled blood glucose levels or diabetes. It should prompt further testing but does not require immediate intervention. It is a chronic symptom rather than an acute, life-threatening one.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Tachycardia: Tachycardia is a common early sign of pulmonary embolism caused by hypoxia and sympathetic stimulation. However, it is nonspecific and not a direct indicator of embolism size or mortality risk.
B. Pleural effusion: A small pleural effusion can occur with a pulmonary embolism due to inflammation or infarction, but its presence does not correlate with embolism severity or predict outcomes such as death.
C. Respiratory alkalosis: Respiratory alkalosis is a typical response to hyperventilation in early PE. While common, it does not indicate the extent of the embolism or the risk of mortality and can be seen in mild cases.
D. Increased troponin levels: Elevated troponin indicates right ventricular strain or injury due to a moderate to large pulmonary embolism. This cardiac biomarker is associated with a higher risk of complications and death, signaling hemodynamic stress from the embolic event..
Correct Answer is B
Explanation
A. The SA node sends an electrical signal greater than 100/min: A fast SA node firing rate may indicate sinus tachycardia, not atrial fibrillation. In atrial fibrillation, the SA node is not the primary pacemaker because disorganized signals originate from multiple ectopic foci in the atria, leading to ineffective atrial contractions.
B. The heart's electrical signals are rapid, chaotic, and irregular: In atrial fibrillation, the atria experience disorganized and chaotic electrical impulses, causing an irregular and often rapid heart rhythm. This results in decreased cardiac output, leading to symptoms like dizziness and palpitations due to poor perfusion.
C. An early electrical signal occurs before the expected sinoatrial (SA) node signal: This describes a premature atrial contraction (PAC), not atrial fibrillation. PACs are isolated early beats and do not typically result in sustained irregular rhythms or significant hemodynamic symptoms like those seen in atrial fibrillation.
D. The heart's electrical transmission through the atrioventricular (AV) node is unusually slow:
Delayed conduction through the AV node is associated with AV blocks, not atrial fibrillation. While AV conduction may be variable in atrial fibrillation, the root problem lies in the atria, not in slowed AV nodal transmission.
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