A nurse is assessing a patient who was admitted to the emergency room for chest pain. Which of the following interventions should the nurse prioritize?
Complete an electrocardiogram.
Obtain a C-reactive protein level.
Administer an anti-hypertensive medication.
Complete an echocardiogram.
The Correct Answer is A
Rationale:
A. Completing an electrocardiogram (ECG) is a priority in assessing a patient with chest pain to evaluate for signs of acute myocardial infarction or other cardiac abnormalities.
B. Obtaining a C-reactive protein level may be useful in certain situations to assess inflammation, but it is not a priority in the acute management of chest pain.
C. Administering an anti-hypertensive medication is not a priority unless the patient's blood pressure is significantly elevated and causing acute symptoms.
D. Completing an echocardiogram may be indicated later in the assessment process but is not typically performed immediately in the emergency room for evaluation of chest pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Limiting alcoholic beverages is important for heart health, but the recommended limit is typically lower than 3 drinks per day, especially for individuals with cardiac myopathy.
B. Increasing intake of saturated fats can exacerbate heart disease and increase the risk of angina episodes. The recommendation is usually to limit saturated fat intake.
C. Regular exercise is beneficial for heart health, but 30 minutes a week may not be sufficient for preventing angina episodes. The recommendation is typically at least 150 minutes of moderate- intensity aerobic exercise per week.
D. Maintaining a BMI (Body Mass Index) less than 25 is important for managing cardiac myopathy and preventing angina episodes. Excess weight can put strain on the heart and exacerbate heart disease.
Correct Answer is ["B","D","E"]
Explanation
Rationale:
A. Ethnicity may contribute to an individual's risk of atherosclerosis due to socioeconomic factors and access to healthcare, but it is not considered a modifiable risk factor.
B. Diabetes is a modifiable risk factor for atherosclerosis. Individuals with diabetes are at increased risk of atherosclerosis due to factors such as hyperglycemia, insulin resistance, and dyslipidemia.
C. Genetic predisposition may increase an individual's susceptibility to atherosclerosis, but it is not a modifiable risk factor.
D. Inactivity, or lack of regular physical activity, is a modifiable risk factor for atherosclerosis.
Regular exercise helps maintain cardiovascular health and reduces the risk of atherosclerosis.
E. Diet, specifically a diet high in saturated fats, trans fats, cholesterol, and sodium, is a modifiable risk factor for atherosclerosis. A diet high in fruits, vegetables, whole grains, and lean proteins can help reduce the risk of atherosclerosis.
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