The nurse is conducting a health history with a female client who reports upper back and jaw pain. In order to assess the client's risk for a cardiac event, which question should the nurse ask first?

"Is the pain worse on exertion?"

"Is the pain worse when you are lying down?"

"Do you have any pain or discomfort in your chest?"

"Do you have cramping pain?"

Answer and Explanation

The Correct Answer is C

A. "Is the pain worse on exertion?": While this is an important question for assessing cardiac risk, it is secondary to identifying any chest pain.

B. "Is the pain worse when you are lying down?": This question is more relevant for assessing musculoskeletal or gastrointestinal issues rather than cardiac risk.

C. "Do you have any pain or discomfort in your chest?": Chest pain or discomfort is a primary symptom associated with cardiac events, making this the most critical question to ask first.

D. "Do you have cramping pain?": This is not specific enough to determine cardiac risk and is more related to gastrointestinal or muscle-related issues.

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Correct Answer is C

Explanation

A. Moist nasal mucosa: This is generally a normal finding and does not usually require immediate follow-up unless there are other symptoms suggesting infection or other issues.

B. Cerumen in the ear: While cerumen can impact hearing, it is typically not an urgent issue and can be managed with appropriate ear care.

C. Enlarged lymph node in the neck: Enlarged lymph nodes can indicate an underlying infection or malignancy, especially if persistent or accompanied by other symptoms, thus requiring immediate follow-up.

D. Acne lesions on the face and upper chest: Acne is common and usually not an urgent concern unless it is severe or causing significant distress.

A. Secondary Prevention B. Primary Prevention C. Tertiary Prevention D. Educational Prevention

Correct Answer is B

Explanation

A. Secondary Prevention: This level focuses on early detection and treatment of diseases, such as screenings or exams, rather than promoting healthy behaviors.

B. Primary Prevention: This level involves strategies to prevent disease before it occurs, including promoting healthy lifestyles through exercise and nutrition.

C. Tertiary Prevention: This level aims to manage and improve quality of life for individuals with existing diseases to prevent complications, rather than preventing disease onset.

D. Educational Prevention: This term is not a standard classification in prevention levels; it refers to educational efforts but does not specifically align with the established levels of prevention.

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The nurse is conducting a health history with a female client who reports upper back and jaw pain. In order to assess the client's risk for a cardiac event, which question should the nurse ask first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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