A client presents to the emergency department reporting chest pain that is radiating to the left arm, shortness of breath, and diaphoresis. Which medication does the nurse anticipate being prescribed by the healthcare provider?
Morphine.
Oxycodone.
Hydromorphone.
Fentanyl.
The Correct Answer is A
Choice A rationale
The client’s presentation of chest pain radiating to the left arm, shortness of breath, and diaphoresis are classic symptoms of a myocardial infarction (heart attack)56. Morphine is often administered in this situation to relieve pain and reduce the workload of the heart.
Choice B rationale
Oxycodone is a strong opioid medication used to treat severe pain. However, it is not typically the first choice for pain relief in the setting of a suspected heart attack.
Choice C rationale
Hydromorphone is another strong opioid medication used to treat severe pain. Like oxycodone, it is not typically the first choice for pain relief in the setting of a suspected heart attack.
Choice D rationale
Fentanyl is a potent opioid pain reliever. While it can be used in the management of severe pain, it is not typically the first choice for pain relief in the setting of a suspected heart attack.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Blood pH level is a measure of the acidity or alkalinity of the blood. While it’s an important measure in many medical situations, it’s not directly related to the presence of purulent drainage at a burn wound site.
Choice B rationale
Hematocrit measures the percentage of red blood cells in the blood and is not directly related to the presence of purulent drainage at a burn wound site. Elevated hematocrit may indicate dehydration or hemoconcentration but does not specifically address the issue of wound infection.
Choice C rationale
The White Blood Cell (WBC) count is a key indicator of infection or inflammation in the body. An elevated WBC count can indicate an infection, which could be the cause of the purulent drainage observed at the burn wound site.
Choice D rationale
Platelet count is a measure of the number of platelets in the blood. Platelets are involved in clotting and wound healing, but they do not directly indicate the presence of an infection that could cause purulent drainage.
Correct Answer is A
Explanation
Choice A rationale
An ABO incompatibility reaction can occur if a patient receives the wrong type of blood during a blood transfusion. Symptoms of an ABO incompatibility reaction include lower back pain and hypotension, which are serious and should be reported immediately to the healthcare provider.
Choice B rationale
A delayed painful rash with urticaria is not typically a symptom of an ABO incompatibility reaction. While it could indicate an allergic reaction, it is not as immediate or potentially life-threatening as the symptoms in Choice A1.
Choice C rationale
Acute rhinitis and nasal stuffiness are more commonly associated with respiratory infections, not ABO incompatibility reactions. These symptoms are not typically a direct result of a blood transfusion.
Choice D rationale
Arthritic joint changes and chronic pain are not associated with ABO incompatibility reactions. These symptoms are more likely related to long-term conditions like arthritis.
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