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 B
Explanation
Choice A rationale
While it’s important to keep the feet moisturized to prevent skin cracks, this statement does not indicate that the client understands how to prevent complications related to diabetes mellitus.
Choice B rationale
Using salt, herbs, and spices to enhance the flavor of foods can be a part of a healthy diet, which is crucial in managing diabetes. This statement indicates that the client understands the importance of dietary management in preventing complications related to diabetes mellitus.
Choice C rationale
While moderate alcohol consumption may be acceptable for some people with diabetes, it’s not a key factor in preventing complications related to diabetes mellitus.
Choice D rationale
While regular monitoring of blood glucose control through tests like the A1C is important, this statement alone does not indicate that the client understands how to prevent complications related to diabetes mellitus.
Correct Answer is A
Explanation
Choice A rationale
As with, a lumbar puncture is the primary diagnostic procedure for suspected bacterial meningitis. The other choices, while useful for detecting other conditions, are not as definitive for diagnosing bacterial meningitis.
Choice B rationale
As mentioned in the rationale for, Choice B, skull radiography is not typically used to diagnose bacterial meningitis.
Choice C rationale
As mentioned in the rationale for, Choice C, an MRI can provide detailed images of the brain and surrounding tissues, but it is not the primary tool for diagnosing bacterial meningitis.
Choice D rationale
As mentioned in the rationale for, Choice D, a CT scan can detect abnormalities in the brain, but it cannot definitively diagnose bacterial meningitis.
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