Which of the following symptoms may indicate the patient is experiencing a cardiac issue? SELECT ALL THAT APPLY.
Fatigue
Chest pain
Edema
Bilateral tingling in feet
Correct Answer : A,B,C
A. Fatigue: Reduced cardiac output limits oxygen delivery to tissues, leading to generalized fatigue and decreased exercise tolerance. This is a common presenting symptom in heart failure and other cardiac conditions, especially in older adults.
B. Chest pain: Chest pain is a classic symptom of myocardial ischemia and other cardiac events. It results from inadequate coronary perfusion and may signal angina or acute coronary syndrome requiring urgent evaluation.
C. Edema: Peripheral edema occurs when impaired cardiac function leads to venous congestion and fluid accumulation in dependent tissues. It is commonly seen in right-sided or advanced heart failure due to increased venous pressure.
D. Bilateral tingling in feet: Tingling in the feet is more suggestive of peripheral neuropathy, electrolyte imbalance, or diabetic complications. It is not a typical manifestation of primary cardiac dysfunction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The Get Up and Go Test evaluates functional mobility by observing strength, balance, and gait during standing, walking, turning, and sitting. It is a quick screening tool rather than a comprehensive fall-risk assessment. Combining it with other exams (e.g., vision, medications, orthostatic vitals) provides a more complete evaluation of fall risk.
Correct Answer is A
Explanation
A. The nurse should have used the check-back method while the drug was being prescribed to ensure she understood what was ordered: The check-back method is a standardized communication strategy in which the receiver repeats the order back to the prescriber to confirm accuracy. This prevents errors from mishearing, misremembering, or confusing similarly named medications, such as Rifampin and Rifaximin.
B. No issue detected, the two drugs are from the same class: Rifampin is an anti-tuberculosis agent, while Rifaximin is used primarily for gastrointestinal infections. They are not interchangeable, and giving the wrong drug can lead to ineffective therapy and adverse effects.
C. The nurse could have chased the doctor down the hallway to clarify the name of the drug: While clarification is important, hurrying after a prescriber is not a reliable or standardized method for ensuring patient safety.
D. None of the above would have avoided the unfortunate occurrence: This is incorrect because using structured communication techniques like check-back is specifically designed to prevent such medication errors.
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