A 52-year-old patient presents with malaise, fatigue, chest congestion, and a chronic cough. While collecting assessment data, an important question to ask is
When did these symptoms start?"
What is your occupation?"
Do you have a headache?"
Do you have any abdominal pain?"
The Correct Answer is B
A. While understanding the onset of symptoms is important, the patient's occupation might provide more insight into potential environmental or work-related exposures that could explain the symptoms, such as chronic exposure to irritants or pollutants.
B. The occupation is highly relevant, as it may help identify occupational hazards, such as exposure to chemicals, dust, or other respiratory irritants, which could be contributing to the symptoms.
C. Although a headache could be related to fatigue or other symptoms, it is not the most relevant question in this case.
D. Abdominal pain is less likely to be the focus when the primary symptoms are chest congestion and a cough, which suggest respiratory involvement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While pupil response can be an indicator of consciousness, the primary concern when assessing pupils is to check for signs of increased intracranial pressure, such as unequal pupil size.
B. The shape of the pupil is important to assess, but the concern here is typically more about the size and response to light, which can indicate a neurological issue.
C. Unequal pupil sizes (anisocoria) can indicate neurological problems, such as increased intracranial pressure or brain injury, and requires further evaluation.
D. Pupil size changes could indicate a variety of issues, but the focus should be on detecting unequal pupils, which can be a critical sign in head injury patients.
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.
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