An emergency department nurse triages clients who present with chest discomfort. Which client would the nurse plan to assess first?

Client who describes intense squeezing pressure across the chest.

Client who reports moderate pain that is worse on inspiration.

Client who reports cramping substernal pain.

Client who describes pain as a dull ache.

Answer and Explanation

The Correct Answer is A

A. This description is indicative of possible myocardial infarction (MI), a life-threatening emergency. Immediate evaluation and intervention, such as administering oxygen, obtaining an EKG, and providing pain relief, are crucial to prevent further damage to the heart and reduce mortality.

B. Moderate pain worse on inspiration suggests pleuritic pain, often associated with conditions like pleuritis or pulmonary embolism, which are serious but generally not as immediately life-threatening as an MI.

C. Cramping substernal pain may indicate a gastrointestinal issue, such as gastroesophageal reflux disease (GERD), which is less urgent than a potential MI.

D. A dull ache may be related to musculoskeletal or gastrointestinal issues and does not suggest the immediate need for intervention seen in MI.

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Correct Answer is B

Explanation

A. Stool frequency does not directly evaluate the prevention of stress ulcers or gastrointestinal bleeding.

B. Fecal occult test directly assesses for hidden gastrointestinal bleeding, making it the best evaluation method.

C. Bowel sounds, while important for general gastrointestinal assessment, bowel sounds do not directly evaluate the effectiveness of Esomeprazole in preventing bleeding.

D. Abdominal distention may indicate a variety of issues but is not specific to assessing the effectiveness of a proton pump inhibitor.

A. Early menarche B. Age greater than 65 years C. Genetic factors D. History of multiple births

Correct Answer is ["A","B","C"]

Explanation

A. Early menarche increases lifetime exposure to estrogen, raising breast cancer risk.

B. Age is a significant risk factor for breast cancer.

C. Genetic factors, like BRCA mutations, increase the risk.

D. History of multiple births is generally protective against breast cancer.

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An emergency department nurse triages clients who present with chest discomfort. Which client would the nurse plan to assess first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The proton pump inhibitor Esomeprazole (Nexium) is prescribed for a client who incurred extensive burn injuries 5 days ago. Which nursing assessment would best evaluate the effectiveness of the drug?

Correct Answer is B

Explanation

The nurse is taking a history of a 68-year-old woman. What assessment findings would indicate a high risk for the development of breast cancer? (Select all that apply.)

Correct Answer is ["A","B","C"]

Explanation

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