A patient calls in to the emergency room and tells the nurse they are having chest pain. They are instructed to sit down and rest.

Their chest pain starts to go away with rest.

The nurse suspects which disorder?

Coronary artery disease.

Angina pectoris.

Congestive heart failure.

Myocardial infarction.

Answer and Explanation

The Correct Answer is B

Choice A rationale:
Coronary artery disease is a chronic condition that develops over time, not typically associated with chest pain that resolves with rest.
Choice B rationale:
Angina pectoris is characterized by chest pain that often improves with rest, as the heart’s demand for oxygen decreases.
Choice C rationale:
Congestive heart failure usually presents with symptoms like shortness of breath, fatigue, and swelling, not necessarily chest pain.
Choice D rationale:
Myocardial infarction, or a heart attack, typically causes severe chest pain that does not improve with rest.

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Correct Answer is ["B","D","E"]

Explanation

The correct answers are B, D, and E.

Choice A Reason: The provider’s name is not an acceptable client identifier for medication administration. The provider’s name is associated with the person who prescribes or orders the medication, not the client who is to receive it. It does not reliably identify the individual for whom the service or treatment is intended.

Choice B Reason: The client’s full name is a primary and acceptable identifier. It is unique to the individual and is used to match the service or treatment to that individual. It is one of the most common identifiers used in healthcare settings to ensure that the correct patient receives the correct medication.

Choice C Reason: The facility room number is not an acceptable identifier. Room numbers can change if patients are moved, and they are not unique to an individual. Therefore, they do not reliably identify the person for whom the service or treatment is intended.

Choice D Reason: An identification number the facility assigns, such as a medical record number, is an acceptable identifier. It is unique to the client and is used across healthcare settings to track patient information, including medication administration.

Choice E Reason: The client’s telephone number can be considered an acceptable identifier, especially in settings where other identifiers might not be available. It is unique to an individual and can be used to verify the client’s identity.

A. Asian ginseng. B. Cayenne. C. Aloe vera. D. Kava.

Correct Answer is A

Explanation

The correct answer is choicea. Asian ginseng.

Choice A rationale:

Asian ginseng is known to enhance the effect of anticoagulants like Coumadin (warfarin).It can increase the risk of bleeding by potentiating the anticoagulant effect.

Choice B rationale:

Cayenne contains salicylates, which have blood-thinning properties, but it is not as well-documented for enhancing the effect of anticoagulants as Asian ginseng.

Choice C rationale:

Aloe vera is not known to significantly affect anticoagulant medications.It is primarily used for its soothing and healing properties on the skin.

Choice D rationale:

Kava is primarily used for its sedative and anxiolytic effects.It does not have a significant impact on anticoagulant medications.

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A patient calls in to the emergency room and tells the nurse they are having chest pain. They are instructed to sit down and rest. Their chest pain starts to go away with rest. The nurse suspects which disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer oral medications to a client. Which of the following should the nurse recognize as acceptable client identifiers?

Correct Answer is ["B","D","E"]

Explanation

During a follow-up visit with a patient recently started on Coumadin, the home health nurse is concerned after seeing an herbal remedy that enhances the effect of anticoagulants by the patient's bedside. What is this herbal remedy?

Correct Answer is A

Explanation

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A patient calls in to the emergency room and tells the nurse they are having chest pain. They are instructed to sit down and rest.

Their chest pain starts to go away with rest.

The nurse suspects which disorder?