While completing an admission assessment for a client with unstable angina, which closed ended questions should the nurse ask about the client's chest pain?
Tell me about the activities that cause your pain?
Does your pain occur when walking short distances?
When did you first notice the pain in your chest?
How do you feel when the pain becomes noticeable?
The Correct Answer is B
A. This is an open-ended question, not closed-ended.
B. A closed-ended question like "Does your pain occur when walking short distances?" is specific and allows the nurse to understand the triggers and pattern of the pain, which is important for assessing unstable angina.
C. "When did you first notice the pain in your chest?" is also a relevant question but less specific to understanding the current pattern and triggers of the pain.
D. "How do you feel when the pain becomes noticeable?" is open-ended and less specific in identifying triggers and patterns of the pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A hard, painless nodule may indicate a deformity but is not an emergency.
B. Erythema and edema at the base of the left great toe could indicate an infection, such as cellulitis, which requires immediate intervention to prevent complications.
C. Decreased response to pain discrimination suggests neuropathy, which is concerning but not immediately life-threatening.
D. Painful corns and calluses are chronic issues that need management but are not urgent.
Correct Answer is A
Explanation
A. Hypoparathyroidism can lead to hypocalcemia, which increases the risk of tetany and seizures, making the risk for injury the highest priority.
B. Deficient knowledge is important to address but is secondary to immediate physiological risks.
C. Anxiety may be present but is not as critical as the risk for injury due to hypocalcemia.
D. Imbalanced nutrition should be managed but is not the immediate priority compared to the risk for injury.
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