A patient is admitted to the floor with a diagnosis of chest pain. Which of the following would be a priority for the assessment?
Palpation of the patient’s joints.
Inspection of the patient’s eyes.
Auscultation of the patient’s heart.
Percussion of the patient’s abdomen.
The Correct Answer is C
When a patient is admitted with a complaint of chest pain, the priority assessment would be to determine whether the patient is experiencing an acute cardiac event, such as a heart attack. This would involve a comprehensive assessment that includes obtaining the patient's medical history, vital signs (blood pressure, heart rate, respiratory rate, oxygen saturation), performing a physical exam, and obtaining an electrocardiogram (ECG).
Other important factors to assess include the location and nature of the pain, any associated symptoms (such as shortness of breath or diaphoresis), the patient's current medications and medical history (including any history of heart disease or risk factors), and any recent procedures or interventions that may have led to the current presentation.
Prompt assessment and intervention are crucial in managing a patient with chest pain, as timely treatment can help to minimize damage to the heart muscle and prevent further complications. Therefore, any signs of an acute cardiac event should be immediately reported to the healthcare provider in charge, and appropriate interventions should be initiated promptly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
REM (Rapid Eye Movement) sleep is a stage of sleep that is part of the sleep cycle, which also includes non-REM (NREM) sleep. Dreaming occurs during REM sleep, and it usually composes about 20-25% of total sleep time in adults. NREM sleep, on the other hand, makes up the largest amount of total sleep time, typically about 75-80%. Both REM and NREM sleep are important for restorative sleep, but each plays a different role in physiological and cognitive functioning.
Correct Answer is D
Explanation
The nurse would use the skill of "inspection" first when examining the cardiovascular system of a patient. The inspection involves observing the patient's physical appearance, skin color, and breathing pattern. After inspection, the nurse would move on to palpation, percussion, and auscultation.
Palpation involves feeling for pulses and areas of tenderness, while percussion involves tapping the chest to assess the density of underlying tissues. Auscultation involves listening to heart sounds using a stethoscope.
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