A patient is admitted to the floor with a diagnosis of chest pain. Which of the following would be a priority for the assessment?
Palpation of the patient’s joints.
Inspection of the patient’s eyes.
Auscultation of the patient’s heart.
Percussion of the patient’s abdomen.
The Correct Answer is C
When a patient is admitted with a complaint of chest pain, the priority assessment would be to determine whether the patient is experiencing an acute cardiac event, such as a heart attack. This would involve a comprehensive assessment that includes obtaining the patient's medical history, vital signs (blood pressure, heart rate, respiratory rate, oxygen saturation), performing a physical exam, and obtaining an electrocardiogram (ECG).
Other important factors to assess include the location and nature of the pain, any associated symptoms (such as shortness of breath or diaphoresis), the patient's current medications and medical history (including any history of heart disease or risk factors), and any recent procedures or interventions that may have led to the current presentation.
Prompt assessment and intervention are crucial in managing a patient with chest pain, as timely treatment can help to minimize damage to the heart muscle and prevent further complications. Therefore, any signs of an acute cardiac event should be immediately reported to the healthcare provider in charge, and appropriate interventions should be initiated promptly.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Pain is a subjective experience, and the client's report of pain should be respected and addressed promptly. If the pain medication is ordered and it has been longer than the ordered interval, the nurse should administer the medication as prescribed. In general, withholding pain medication for a client in pain is not an appropriate action.
Administering half the ordered dose of pain medication without a healthcare provider's order is also not appropriate. The nurse should follow the healthcare provider's orders for pain medication administration and titration.
It's also not appropriate to assume that the client is faking pain without adequate assessment and evidence to support such a claim. The nurse should perform a thorough pain assessment, including the location, intensity, and quality of the pain, and consider non-pharmacological interventions to help manage the pain.
Correct Answer is A
Explanation
The role of a registered nurse in a genitalia examination is mainly inspection and palpitation.
During a genitalia examination, the nurse will visually inspect the genital area for any abnormalities, lesions, or signs of infection. This may include examining the external genitalia, such as the vulva or penis, as well as the anus and surrounding area.
The nurse may also palpate, or gently touch, the genital area to check for any tenderness, swelling, or lumps that could indicate a problem. However, auscultation (listening with a stethoscope) and percussion (tapping on the body) are not typically part of a genitalia examination.
It is important to note that a genitalia examination should always be performed in a professional and respectful manner, with clear communication between the nurse and the patient throughout the process.
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