A patient arrives at the clinic reporting a new onset of angina pectoris that has persisted for the last 30 minutes. What should be the nurse’s initial action?
Administer a nebulizer treatment.
Obtain an EKG reading.
Review the patient’s surgical history.
Record the patient’s weight.
The Correct Answer is B
Choice A rationale
Administering a nebulizer treatment would be more appropriate for respiratory conditions such as asthma or COPD, not for angina pectoris.
Choice B rationale
Obtaining an EKG reading is the most appropriate initial action when a patient reports a new onset of angina pectoris. An EKG can help determine if the patient is experiencing a myocardial infarction (heart attack), which is a life-threatening condition.
Choice C rationale
While reviewing the patient’s surgical history is important in a comprehensive assessment, it is not the most immediate action needed when a patient presents with angina.
Choice D rationale
Recording the patient’s weight is not the most immediate action needed when a patient presents with angina.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Respiratory acidosis is characterized by a pH less than 7.35 and a PaCO2 greater than 454. In this case, the pH is 7.43, which is within the normal range, and the PaCO2 is 46, which is slightly above the normal range. Therefore, this does not indicate respiratory acidosis.
Choice B rationale
Respiratory alkalosis is characterized by a pH greater than 7.45 and a PaCO2 less than 354. In this case, the pH is 7.43, which is within the normal range, and the PaCO2 is 46, which is slightly above the normal range. Therefore, this does not indicate respiratory alkalosis.
Choice C rationale
Metabolic acidosis is characterized by a pH less than 7.35 and a HCO3 less than 224. In this case, the pH is 7.43, which is within the normal range, and the HCO3 is 35, which is above the normal range. Therefore, this does not indicate metabolic acidosis.
Choice D rationale
Metabolic alkalosis is characterized by a pH greater than 7.45 and a HCO3 greater than 264. In this case, the pH is 7.43, which is within the normal range, and the HCO3 is 35, which is above the normal range. Therefore, this indicates metabolic alkalosis.
Correct Answer is C
Explanation
Choice A rationale
Designating a single area in the home for smoking while using oxygen is not a safe practice. Oxygen supports combustion and can cause materials to ignite more easily and burn faster, increasing the risk of fires and severe burns.
Choice B rationale
While bright patterns on throw rugs may make them more visible, they can still pose a tripping hazard, especially for older adults or individuals with mobility issues.
Choice C rationale
Installing carbon monoxide detectors throughout the home is a key safety measure. Carbon monoxide is a colorless, odorless gas that can cause sudden illness and death if inhaled.
Choice D rationale
Administering ipecac to induce vomiting after ingesting poison is not recommended. It can cause harm and is not effective for all types of poisonings.
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