A nurse is caring for a client in the clinic
Complete the following sentence by using the list of options.
The nurse should first address the client's
The Correct Answer is {"dropdown-group-1":"C"}
- Chest pain: Crushing, retrosternal chest pain is highly suggestive of cardiac ischemia or acute coronary syndrome. It requires immediate evaluation due to the risk of myocardial infarction. The presence of fatigue and weakness adds to the urgency. Chest pain is always prioritized due to its life-threatening potential.
- Visual disturbance: Visual changes may indicate hypertension, hyperglycemia, or neurological issues. While concerning, they are typically not immediately life-threatening. These symptoms can be evaluated after cardiac causes are ruled out. They support further systemic investigation.
- Fatigue: Fatigue is a nonspecific symptom seen in many chronic conditions like diabetes, anemia, or heart failure. It does not signal an emergency on its own. It may be related to underlying cardiac issues but is not prioritized over chest pain.
- Increased urination: Polyuria often indicates uncontrolled blood glucose levels or diabetes. It should prompt further testing but does not require immediate intervention. It is a chronic symptom rather than an acute, life-threatening one.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Cyanosis: Cyanosis is a late sign of hypoxemia, not specifically hypercapnia. It indicates poor oxygenation of tissues but does not directly reflect elevated carbon dioxide levels in the blood.
B. Arrhythmias: Arrhythmias may occur in respiratory failure due to hypoxemia or acid-base disturbances. However, they are not the most specific indicator of severe hypercapnia and can result from a range of metabolic or cardiac causes.
C. Asterixis: Asterixis, or "flapping tremor," is a neurologic manifestation of severe hypercapnia and altered mental status. It results from elevated CO₂ levels affecting brain function and is often seen in CO₂ narcosis or advanced respiratory failure.
D. Tachycardia: Tachycardia is a common compensatory response to hypoxia or hypercapnia, but it is nonspecific. It can be seen in many conditions and is not a definitive sign of severe carbon dioxide retention.
Correct Answer is A
Explanation
A. Tachycardia: Elevated T3 and T4 levels with suppressed TSH indicate hyperthyroidism, which increases metabolic rate and sympathetic nervous system activity. This often results in tachycardia due to increased cardiac demand and heightened sensitivity to catecholamines.
B. Decreased body temperature: Hyperthyroidism typically causes increased heat production and heat intolerance. Clients often feel warm or overheated, not cold, so a drop in body temperature would be unexpected.
C. Slow respiratory rate: Increased metabolism usually raises oxygen demand, leading to a normal or increased respiratory rate. A slow respiratory rate is not characteristic of hyperthyroid states.
D. Hypotension: Hyperthyroidism often causes systolic hypertension due to increased cardiac output. While some clients may experience normal blood pressure, persistent hypotension is not a common finding.
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