A nurse is receiving a patient from the emergency room.
To assess whether a client is having symptoms of abdominal problems, which symptom would the nurse ask the patient? For each data collection, choose whether the assessment is essential or non-essential.
leg pain
indigestion
headache
pruritus of the skin
nausea
vomiting
The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"B"},"E":{"answers":"A"},"F":{"answers":"A"}}
Indigestion: This is a common symptom related to abdominal issues, and the nurse should assess it.
Nausea: Often indicates gastrointestinal distress and is important to evaluate.
Vomiting: A critical symptom that can signify a range of abdominal problems and warrants further assessment.
Non-essential:
Leg pain: Not typically associated with abdominal problems, making it non-essential for this assessment.
Headache: While it can be related to many conditions, it is not directly tied to abdominal problems.
Pruritus of the skin: Generally unrelated to abdominal symptoms, making it non-essential for this specific assessment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["D","F"]
Explanation
A. This statement indicates complete paralysis of both sides, which does not apply to hemiparesis, where one side is affected.
B. While this could describe some patients, it does not accurately represent "complete" right-sided hemiparesis.
C. This option is a repeat and also does not accurately reflect complete right-sided hemiparesis.
D. Weakness on the right side of the face and tongue is consistent with right-sided hemiparesis, as the stroke may affect motor control in those areas.
E. This describes a client who is less severely affected and may not apply to someone with complete right-sided hemiparesis.
F. Weakness on the right side of the body is a direct characteristic of right-sided hemiparesis.
Correct Answer is A
Explanation
A. Ventricular tachycardia: Ventricular tachycardia (VT) is identified by a regular, fast rhythm with wide QRS complexes, typically without visible P waves. This rhythm often appears as consecutive, large, uniform waves, which is consistent with what is seen in the diagram.
B. Asystole: Asystole is characterized by a flat line, indicating no electrical activity, which is not present in this strip.
C. Normal sinus rhythm: Normal sinus rhythm would show identifiable P waves, a normal QRS complex, and a regular rate, which are not observed here.
D. Ventricular fibrillation: Ventricular fibrillation appears as chaotic, irregular waveforms with no clear QRS complexes or organization, which does not match the rhythm shown.
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