Which common assessment question does the nurse use when admitting all clients that helps to screen for cardiomyopathy?
"What brought you to the emergency department today?"
"When was the last time you had any nausea or heartburn?"
"Did you have any common childhood diseases?"
"Have you ever had a close family member die unexpectedly?"
The Correct Answer is D
A. "What brought you to the emergency department today?": This is a general intake question that helps determine the current complaint but does not specifically screen for risk factors or history of cardiomyopathy.
B. "When was the last time you had any nausea or heartburn?": These symptoms may relate to gastrointestinal or cardiac concerns but are nonspecific and not directly used to screen for cardiomyopathy.
C. "Did you have any common childhood diseases?": While relevant in some cases, childhood illnesses are not typically a key factor in identifying familial or inherited forms of cardiomyopathy.
D. "Have you ever had a close family member die unexpectedly?": Sudden cardiac death in a family member can be a red flag for inherited forms of cardiomyopathy, such as hypertrophic cardiomyopathy. This is a critical screening question to assess genetic risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Thiazide diuretic: Thiazide diuretics are often the first-line pharmacologic treatment for stage 1 hypertension when lifestyle changes alone are ineffective. They reduce blood volume and peripheral resistance, effectively lowering blood pressure.
B. ACE inhibitors: ACE inhibitors are commonly used, especially in clients with diabetes or heart failure, but they are generally considered after thiazide diuretics unless there is a compelling comorbidity.
C. Calcium channel blocker: These are also used to manage hypertension, particularly in older adults or those with certain cardiovascular risks, but not typically as the first step without other indications.
D. Beta-blocker: Beta-blockers are not usually first-line for uncomplicated hypertension. They are more appropriate when there are concurrent conditions like heart failure, arrhythmias, or post-MI care.
Correct Answer is B
Explanation
A. Eating alone so the client can eat at his own pace and not be hurried: While avoiding pressure during meals can help, eating alone may contribute to social isolation and decrease interest in food. Mealtime companionship often encourages intake and comfort.
B. Preparing cool or cold foods that may be better tolerated: Cool or cold foods often have less odor and are easier to tolerate, especially for clients with nausea or decreased appetite. This can reduce sensory overload and make eating more pleasant.
C. Providing several choices on the plate so that the client has what may appeal to him: Too many options at once can be overwhelming and reduce appetite in some clients. Simpler, smaller servings may be more effective than offering multiple foods at once.
D. Offering high caloric foods to build fat and muscle: While calorie-dense foods are useful, the primary goal in end-of-life care is comfort and appetite stimulation, not rebuilding muscle. Forcing high-calorie intake can lead to resistance or nausea.
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