The nurse is caring for a group of patients. Which of the the following patients should the nurse evaluate first?

A patient with coronary artery disease (CAD) who reports chest pain radiating to the jaw.

A patient with venous insufficiency with 2+ pitting edema.

A patient receiving enoxaparin (Lovenox) for experiencing an MI 3 days ago.

A patient with peripheral artery disease (PAD) with a diminished pulse.

Answer and Explanation

The Correct Answer is A

A. A patient with coronary artery disease (CAD) who reports chest pain radiating to the jaw: This patient should be evaluated first. Chest pain radiating to the jaw can be a sign of a heart attack, which is a life-threatening condition. Immediate medical attention is required to prevent further damage to the heart muscle.

B. A patient with venous insufficiency with 2+ pitting edema: While this patient’s condition needs to be addressed, it is not as immediately life-threatening as a potential heart attack. Venous insufficiency and edema can lead to discomfort and complications if left untreated, but these complications are typically not immediate.

C. A patient receiving enoxaparin (Lovenox) for experiencing an MI 3 days ago: This patient is already receiving treatment for their condition. While they should be monitored for side effects of the medication and signs of further cardiac issues, they are not the highest priority based on the information given.

D. A patient with peripheral artery disease (PAD) with a diminished pulse: While a diminished pulse can indicate poor blood flow, which can lead to complications such as tissue damage and non-healing wounds, it is not as immediately life-threatening as a potential heart attack. This patient should be evaluated, but they are not the highest priority based on the information given.

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Correct Answer is B

Explanation

A. “C” refers to the cost to complete the research: This is not accurate. In a PICOT question, “C” stands for “Comparison”. It refers to the other main intervention or treatment that you wish to compare with the intervention12.

B. “O” refers to the outcome of the research: This is correct. In a PICOT question, “O” stands for “Outcome”. It refers to the effect or result that you expect from the intervention12.

C. “I” refers to the issue to be researched: This is not accurate. In a PICOT question, “I” stands for “Intervention”. It refers to the treatment or action that the researcher wants to study12.

D. “T” Prefers to the steps for planning the research: This is not accurate. In a PICOT question, “T” stands for “Time”. It refers to the time it takes for the intervention to achieve the outcome or how long patients are observed

A. Arrange referral for family therapy to deal with home stressors. B. Follow the agency's guidelines for reporting suspected abuse. C. Check the bruises at the next visit to the client's home. D. Institute more frequent visits to the client's home.

Correct Answer is B

Explanation

A. Arrange referral for family therapy to deal with home stressors:

While family therapy may be beneficial in addressing underlying issues, suspected abuse must be reported promptly to protect the client's safety. Referral for family therapy can be considered as part of a comprehensive intervention plan but should not delay reporting of suspected abuse.

B. Follow the agency's guidelines for reporting suspected abuse:

Reporting suspected abuse is the first priority when there are concerns about a client's safety. Following the agency's guidelines ensures that the appropriate authorities are notified and that the client receives the necessary protection and support.

C. Check the bruises at the next visit to the client's home:

Delaying action and waiting until the next visit to check the bruises could put the client at further risk of harm. Suspected abuse requires immediate attention, and the nurse should follow established protocols for reporting and intervening in such situations.

D. Institute more frequent visits to the client's home:

While more frequent visits may allow for closer monitoring of the client's condition, suspected abuse should be addressed immediately through appropriate reporting channels. Increasing visit frequency alone may not adequately address the safety concerns and may delay necessary intervention.

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The nurse is caring for a group of patients. Which of the the following patients should the nurse evaluate first?

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Naxlex Comprehensive Predictor Exams

A nurse is discussing the process of evidence-based practice with a newly licensed nurse. Which of the following information should the nurse include when discussing a PICOT question?

Correct Answer is B

Explanation

Correct Answer is B

Explanation

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