The licensed practical nurse is assisting with collecting data on a female patient. Which of the following findings should be reported to the registered nurse as possible atypical symptoms of a myocardial infarction in the absence of chest pain? Select all that apply.

Sweating

Fatigue

Shortness of breath

Dizziness

Nausea

Pain between shoulder blades

Answer and Explanation

Correct Answer : A,B,C,D,E,F

Choice A reason: Sweating can be an atypical symptom of a myocardial infarction, especially if it is sudden and occurs without exertion.

Choice B reason: Fatigue, particularly if it is new or unexplained, can be a sign of a myocardial infarction.

Choice C reason: Shortness of breath without chest pain can also be an atypical presentation of a myocardial infarction.

Choice D reason: Dizziness, especially if associated with other symptoms, can indicate a myocardial infarction.

Choice E reason: Nausea is another atypical symptom that can occur with a myocardial infarction.

Choice F reason: Pain between the shoulder blades can be an atypical symptom of a myocardial infarction.

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Correct Answer is D

Explanation

Choice A reason: Spaghetti, while a source of carbohydrates, may not be the best option for someone experiencing acute mania who might benefit from simpler, less stimulating foods.

Choice B reason: Soup can be a good choice but may not provide the necessary energy and nutrient density needed for someone in a manic state.

Choice C reason: A peanut butter sandwich could be a good option, but it might be too complex for a client to focus on eating during a manic episode.

Choice D reason: Oatmeal is an excellent choice as it is a whole grain that can have a calming effect on the mind and is easy to consume.

A. Schizophrenia B. Auditory hallucinations C. Delusions of grandeur D. Delusions of persecution

Correct Answer is C

Explanation

Choice A reason: Schizophrenia is a diagnosis, not a symptom, and involves a range of symptoms including delusions, hallucinations, and disorganized thinking.

Choice B reason: Auditory hallucinations involve hearing voices or sounds that are not there and are not described in the scenario.

Choice C reason: Delusions of grandeur involve beliefs of having more power, wealth, smarts, or other grand traits than is true, which fits the description of Marge's belief about advising the mayor.

Choice D reason: Delusions of persecution involve beliefs that others are out to harm or harass the individual, which is not indicated in Marge's behavior.

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The licensed practical nurse is assisting with collecting data on a female patient. Which of the following findings should be reported to the registered nurse as possible atypical symptoms of a myocardial infarction in the absence of chest pain? Select all that apply.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. Which of the following is an appropriate food choice for this client?

Correct Answer is D

Explanation

Marge is a 68-year-old woman with a long history of bipolar disorder. She is brought to the ED by her sister, who reports that Marge has been increasingly agitated, unable to sleep, and told her daughter that the mayor was calling her for advice on running the city. The behavior is an example of:

Correct Answer is C

Explanation

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