Which query is best suited for determining the patient's chief complaint?

"Have you ever experienced this problem before?"

"What brings you to the hospital today?"

"Did your doctor tell you to come to the hospital?"

"How long have you been having chest pain?"

Answer and Explanation

The Correct Answer is B

Choice A rationale

Asking "Have you ever experienced this problem before?" elicits historical information about the symptom, which is valuable for understanding the pattern and potential causes of the current complaint. However, it does not directly prompt the patient to articulate their primary reason for seeking medical attention in the present moment.

Choice B rationale

"What brings you to the hospital today?" is an open-ended question that encourages the patient to describe, in their own words, their primary concern or reason for seeking medical care. This allows the healthcare provider to identify the chief complaint directly and without leading the patient toward specific symptoms.

Choice C rationale

"Did your doctor tell you to come to the hospital?" focuses on the referral source rather than the patient's subjective experience of their symptoms. While knowing the referral context can be helpful, it does not directly address the patient's current health concerns or the specific problem they are experiencing.

Choice D rationale

"How long have you been having chest pain?" is a closed-ended question that assumes the presence of chest pain and focuses on its duration. While important for characterizing a specific symptom, it does not allow for the identification of the patient's overall chief complaint, which might be broader than just chest pain.

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Correct Answer is ["3"]

Explanation

LABEL #3 - LEVOXYL states that one tablet contains 0.1 mg of levothyroxine.

Step 1 is to determine the dose per tablet. 0.1 mg/tablet.

Step 2 is to calculate the number of tablets to administer. 0.3 mg ÷ (0.1 mg/tablet) = 3 tablets. The final calculated answer is 3 tablets.

A. 4 hours before the next scheduled dose. B. 24 hours after the drug was given. C. 30 minutes before the administration of the drug. D. 1 hour after the medication has been infused.

Correct Answer is C

Explanation

Choice A rationale

Ordering a trough level 4 hours before the next scheduled dose would likely result in an inaccurate reading. The trough level represents the lowest concentration of a drug in the bloodstream, typically occurring just before the next dose, ensuring that the drug concentration remains within the therapeutic range to exert its pharmacological effect.

Choice B rationale

Obtaining a trough level 24 hours after the drug was given is too late and would not provide an accurate assessment of the drug's lowest concentration before the subsequent dose. By this time, depending on the drug's half-life, the concentration may be significantly lower or undetectable, making it irrelevant for therapeutic monitoring.

Choice C rationale

The trough level of a medication is measured to ensure that the drug concentration remains above the minimum effective concentration and below toxic levels. Collecting the blood sample 30 minutes before the administration of the next dose allows the drug to reach its lowest concentration in the systemic circulation, providing an accurate representation of the drug's true trough level.

Choice D rationale

Measuring the drug level 1 hour after the medication has been infused would represent a concentration much closer to the peak level, not the trough. The peak level indicates the maximum drug concentration, typically occurring shortly after administration or infusion, and is used to assess for potential toxicity or adequate absorption.

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Which query is best suited for determining the patient's chief complaint?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The MD orders levothyroxine 0.3 mg p.o. daily @ 0600. How many tablets will the nurse administer? (Use LABEL #3 - LEVOXYL; LABEL CORRECTLY TO RECEIVE CREDIT) . . .

Correct Answer is ["3"]

Explanation

The nurse must monitor the trough level of medication. When would the nurse order the trough level?

Correct Answer is C

Explanation

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