The client is brought to the emergency department with complaint of chest pain, rapid breathing, and palpitations. Cardiovascular event is ruled out, and the client is diagnosed with acute panic attack. The client seems embarrassed and states, "I thought I was going to die." Which is the best response from the nurse?

"Chest pain should always be evaluated."

"But you are okay now."

"It must have been frightening for you."

"We would not let you die."

Answer and Explanation

The Correct Answer is C

A. "Chest pain should always be evaluated.": While true, this response shifts focus away from the client’s emotional experience. It is more clinical than empathetic, and may not validate the client's current distress.
B. "But you are okay now.": This can feel dismissive of the intense fear the client experienced. While intended to reassure, it overlooks the need for emotional validation during recovery from a panic attack.
C. "It must have been frightening for you.": This statement acknowledges and validates the client’s emotional experience. Empathic reflection helps reduce shame and fosters therapeutic rapport during an anxiety crisis.
D. "We would not let you die.": This response may sound comforting but unintentionally minimizes the client’s perceived fear and lacks therapeutic depth. It doesn’t address the emotional intensity of the situation.

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Correct Answer is D

Explanation

A. "What brought you to the emergency department today?": This is a general intake question that helps determine the current complaint but does not specifically screen for risk factors or history of cardiomyopathy.
B. "When was the last time you had any nausea or heartburn?": These symptoms may relate to gastrointestinal or cardiac concerns but are nonspecific and not directly used to screen for cardiomyopathy.
C. "Did you have any common childhood diseases?": While relevant in some cases, childhood illnesses are not typically a key factor in identifying familial or inherited forms of cardiomyopathy.
D. "Have you ever had a close family member die unexpectedly?": Sudden cardiac death in a family member can be a red flag for inherited forms of cardiomyopathy, such as hypertrophic cardiomyopathy. This is a critical screening question to assess genetic risk.

A. Alveoli B. The pulmonary artery C. The pulmonary vein D. Bronchi

Correct Answer is A

Explanation

A. Alveoli: The alveoli are responsible for gas exchange, including the removal of CO₂. Impaired alveolar function leads to CO₂ retention and respiratory acidosis, commonly seen in conditions like COPD or pneumonia.
B. The pulmonary artery: The pulmonary artery carries deoxygenated blood to the lungs but does not directly participate in gas exchange. Impairment here affects perfusion, not CO₂ elimination.
C. The pulmonary vein: The pulmonary vein returns oxygenated blood to the heart and is not involved in gas exchange. Elevated CO₂ is not typically linked to vein function.
D. Bronchi: The bronchi conduct air but do not facilitate gas exchange. While obstruction can contribute to CO₂ retention, the alveoli are primarily responsible for its removal.

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Naxlex Comprehensive Predictor Exams

Which common assessment question does the nurse use when admitting all clients that helps to screen for cardiomyopathy?

Correct Answer is D

Explanation

The nurse is reviewing lab work for a client whose blood CO2 level is elevated. The nurse is most correct to suspect an impairment of which?

Correct Answer is A

Explanation

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