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?"
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
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.
Correct Answer is D
Explanation
A. Planning: Planning involves setting goals and interventions based on data collected, but data collection itself is not part of this phase.
B. Diagnosis: Diagnosis involves analyzing collected data to identify health issues, but data collection is a separate process that occurs before this phase.
C. Evaluation: Evaluation assesses the effectiveness of interventions and progress towards goals, but data collection is performed earlier in the process.
D. Assessment: Data collection is a fundamental part of the assessment phase in the nursing process, where information is gathered to identify patient needs and conditions.
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