During an intake assessment, a client with antisocial personality disorder uses profanity, sexual orientation slurs, and threatens to spit at the nurse. What is the MOST appropriate statement or ask for the nurse to make about the client's behavior?

Choice A rationale

Shortness of breath while lying flat, known as orthopnea, can indicate worsening heart failure or other serious cardiac conditions. This symptom may suggest fluid buildup in the lungs due to inadequate heart function, requiring immediate medical evaluation.

Choice B rationale

Night sweats and excessive sweating can be associated with cardiac issues such as myocardial infarction or heart failure. These symptoms can indicate that the heart is not effectively pumping blood, leading to increased stress on the body.

Choice C rationale

Burning chest pain at night can be indicative of angina or even a myocardial infarction. Angina often worsens at night due to changes in heart rate and blood pressure during sleep. This symptom warrants prompt cardiac assessment to rule out severe cardiac events.

Choice D rationale

Headaches after eating are not typically associated with cardiac conditions. This symptom is more likely related to gastrointestinal or metabolic issues rather than cardiac problems.

Choice E rationale

Feeling sleepy after eating is usually due to normal postprandial somnolence and is not directly related to cardiac issues. This symptom does not require urgent cardiac evaluation.

Choice A rationale

Assessing for hypoglycemia at 0830 is too early, as insulin aspart typically peaks between 1 to 2 hours after administration. This choice would not capture the most likely time for hypoglycemia.

Choice B rationale

Hypoglycemia is most likely to occur around 0930, which is approximately 1.5 hours after the administration of insulin aspart, as it typically peaks within this time frame, increasing the risk of low blood sugar.

Choice C rationale

1030 is beyond the peak action time of insulin aspart, making it less likely to be the time for hypoglycemia. While it is important to monitor glucose levels, the highest risk period would have passed.

Choice D rationale

1130 is significantly beyond the peak action time of insulin aspart, and the risk of hypoglycemia from this dose would have decreased by this time. Regular monitoring is still important, but the critical period is earlier.