When performing an initial assessment on a patient, which piece of information is of highest priority?

date of previous diagnostic tests

where the patient is living

treatment for previous illnesses

any allergies to medications

Answer and Explanation

The Correct Answer is D

A.   The date of previous diagnostic tests may be important, but it is secondary to immediate safety concerns like allergies.
B.   Information about the patient's living situation can be useful for discharge planning but is not the most urgent piece of information.
C.   Previous treatment for illnesses is important but does not supersede immediate health threats like allergies.
D.   Knowing any allergies to medications is critical to avoid potentially harmful reactions. This is a priority when beginning care, as it informs medication administration and treatment options.

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Correct Answer is D

Explanation

A. A stronger pulse is typically associated with increased stroke volume or cardiac output.
B. Bradycardia is not directly related to a reduced stroke volume; pulse rate may not necessarily decrease.
C. An irregular pulse is more associated with arrhythmias or other cardiac conditions, not a reduction in stroke volume.
D. A weaker pulse is expected with a reduced stroke volume, as less blood is being pumped with each heartbeat, leading to a diminished pulse.

A. allow the patient to sit on the side of the bed for a minute before standing. B. instruct the patient to use the wheelchair for all mobility activity. C. keep the patient in bed in a high Fowler's position D. help the patient to rise quickly and support the patient for a minute.

Correct Answer is A

Explanation

A. Allowing the patient to sit on the side of the bed helps to prevent sudden drops in blood pressure and allows the body to adjust to the change in position, reducing the risk of fainting or dizziness.
B. Using a wheelchair for mobility may not address the root cause of orthostatic hypotension and may limit the patient's independence.
C. Keeping the patient in a high Fowler's position could worsen the symptoms of orthostatic hypotension.
D. Rising quickly could lead to a sudden drop in blood pressure and increase the risk of a fall or injury.

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When performing an initial assessment on a patient, which piece of information is of highest priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse anticipates that if the stroke volume of a patient is reduced, the pulse will be:

Correct Answer is D

Explanation

Because the older adult's blood vessels are nonelastic, they are prone to orthostatic hypotension. A priority intervention for a patient with orthostatic hypotension is to:

Correct Answer is A

Explanation

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