The occupational health nurse is completing an assessment on an employee who has a history of type 2 diabetes, coronary artery disease, unstable angina, and gastroesophageal reflux disease (GERD). Which statement(s) should prompt the nurse to refer the employee for PROMPT evaluation of their cardiac status? (SELECT ALL THAT APPLY)
Most nights I sleep in the family room recliner because I get short of breath lying flat.
I have been waking up at night sweating and wet all over.
Lately, I wake up at night with a burning feeling in my chest.
I have been experiencing headaches immediately after eating.
Immediately after eating I feel sleepy and want to go to bed.
Correct Answer : A,B,C
Choice A rationale
Orthopnea, or shortness of breath when lying flat, is a classic symptom of heart failure. Patients often need to sleep in an elevated position to ease breathing, which indicates a potential worsening of heart function that needs urgent evaluation.
Choice B rationale
Night sweats and overall diaphoresis can be symptoms of myocardial infarction (heart attack) or other acute cardiac conditions. This requires prompt medical assessment to prevent further cardiac events or complications.
Choice C rationale
Nocturnal angina, or chest pain at night, can indicate a severe underlying cardiac issue such as unstable angina or coronary artery disease. This symptom warrants immediate cardiac evaluation to manage and mitigate potential risks.
Choice D rationale
Headaches after eating are not typically associated with cardiac issues but may relate to other conditions such as hypoglycemia or migraines. This symptom alone does not usually prompt immediate cardiac evaluation.
Choice E rationale
Postprandial somnolence, or sleepiness after eating, is generally not linked directly to cardiac status but rather to digestive or metabolic processes. This symptom is less likely to require urgent cardiac assessment. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B"]
Explanation
Choice A rationale
A triple lumen subclavian catheter provides a reliable, large-bore central line for infusing TPN, ensuring safe and efficient nutrient delivery to meet metabolic needs.
Choice B rationale
A double lumen PICC line inserted above the antecubital fossa is suitable for TPN infusion, providing central venous access with reduced infection risk compared to peripheral lines.
Choice C rationale
A nasogastric tube is used for feeding into the stomach or intestine, not for TPN, which requires central venous access to avoid phlebitis and ensure adequate nutrient delivery.
Choice D rationale
A 22-gauge peripheral IV is not appropriate for TPN, as peripheral lines are more prone to phlebitis and cannot support the high osmolarity of TPN solutions.
Choice E rationale
An 18-gauge peripheral IV is better than a 22-gauge, but peripheral lines in general are not ideal for TPN due to risks like phlebitis and inadequate nutrient delivery.
Correct Answer is ["A","B","D"]
Explanation
Choice A rationale
Walking 30 minutes a day, three times a week, promotes cardiovascular health, helps maintain a healthy weight, and can improve bowel function. Regular physical activity is recommended to prevent constipation, which can be particularly beneficial for someone recovering from a hemorrhoidectomy. This activity also improves overall well-being.
Choice B rationale
Taking a stool softener in the morning helps prevent constipation by ensuring that bowel movements are easy to pass. This is crucial for someone who has undergone a hemorrhoidectomy to avoid straining during defecation, which can exacerbate pain or cause complications in the healing process.
Choice C rationale
Giving oneself enemas twice a day is not recommended after a hemorrhoidectomy. Frequent enemas can irritate the rectal area, disrupt natural bowel habits, and potentially cause injury or infection. It contradicts the standard postoperative care advice aimed at promoting gentle bowel movements.
Choice D rationale
Increasing fluid intake throughout the day is beneficial for preventing constipation. Adequate hydration helps soften stools and makes them easier to pass. This practice is particularly important after a hemorrhoidectomy to avoid straining and to promote healing and comfort.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.