A patient arrives at the clinic reporting a new onset of angina pectoris that has persisted for the last 30 minutes. What should be the nurse’s initial action?
Administer a nebulizer treatment.
Obtain an EKG reading.
Review the patient’s surgical history.
Record the patient’s weight.
The Correct Answer is B
Choice A rationale
Administering a nebulizer treatment would be more appropriate for respiratory conditions such as asthma or COPD, not for angina pectoris.
Choice B rationale
Obtaining an EKG reading is the most appropriate initial action when a patient reports a new onset of angina pectoris. An EKG can help determine if the patient is experiencing a myocardial infarction (heart attack), which is a life-threatening condition.
Choice C rationale
While reviewing the patient’s surgical history is important in a comprehensive assessment, it is not the most immediate action needed when a patient presents with angina.
Choice D rationale
Recording the patient’s weight is not the most immediate action needed when a patient presents with angina.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
Choice A rationale
Using a sterile technique when packing the wound and changing the dressing twice a day is crucial to prevent further infection.
Choice B rationale
It is important to complete the full course of antibiotics, even if symptoms improve, to ensure the infection is fully treated and to prevent antibiotic resistance.
Choice C rationale
Diarrhea can be a side effect of some antibiotics. If it gets worse, it could be a sign of an infection such as Clostridium difficile, which requires immediate medical attention.
Choice D rationale
Rest is important for recovery. Strenuous activity could delay healing and increase the risk of complications.
Correct Answer is D
Explanation
Choice A rationale
Deontology is an ethical theory that emphasizes duties or rules. It doesn’t focus on using case studies from one demographic to instruct a different demographic on ethical decision-making.
Choice B rationale
Utilitarianism is an ethical theory that determines right from wrong by focusing on outcomes. It suggests that the most ethical choice is the one that will produce the greatest good for the greatest number. It doesn’t involve using case studies from one demographic to instruct another.
Choice C rationale
Feminist ethics is an approach to ethics that builds on the belief that traditionally ethical theorizing has undervalued and/or underappreciated women’s moral experience. It doesn’t directly relate to the use of case studies from one demographic to instruct another.
Choice D rationale
Casuistry, in ethics, a case-based method of reasoning. It is particularly employed in field- specific branches of professional ethics such as business ethics and bioethics. Casuistry typically uses general principles in reasoning analogically from clear-cut cases, called paradigms, to vexing cases. This aligns with the scenario of a nursing educator utilizing case studies from one demographic to instruct a different demographic on ethical decision-making.
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