The nurse is caring for a group of patients. Which of the the following patients should the nurse evaluate first?

A patient with coronary artery disease (CAD) who reports chest pain radiating to the jaw.

A patient with venous insufficiency with 2+ pitting edema.

A patient receiving enoxaparin (Lovenox) for experiencing an MI 3 days ago.

A patient with peripheral artery disease (PAD) with a diminished pulse.

Answer and Explanation

The Correct Answer is A

A. A patient with coronary artery disease (CAD) who reports chest pain radiating to the jaw: This patient should be evaluated first. Chest pain radiating to the jaw can be a sign of a heart attack, which is a life-threatening condition. Immediate medical attention is required to prevent further damage to the heart muscle.

B. A patient with venous insufficiency with 2+ pitting edema: While this patient’s condition needs to be addressed, it is not as immediately life-threatening as a potential heart attack. Venous insufficiency and edema can lead to discomfort and complications if left untreated, but these complications are typically not immediate.

C. A patient receiving enoxaparin (Lovenox) for experiencing an MI 3 days ago: This patient is already receiving treatment for their condition. While they should be monitored for side effects of the medication and signs of further cardiac issues, they are not the highest priority based on the information given.

D. A patient with peripheral artery disease (PAD) with a diminished pulse: While a diminished pulse can indicate poor blood flow, which can lead to complications such as tissue damage and non-healing wounds, it is not as immediately life-threatening as a potential heart attack. This patient should be evaluated, but they are not the highest priority based on the information given.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

(A) Evaluating the collected data: This step involves analyzing the data that has been collected during the research process. However, in this scenario, the nurse is in the process of researching data, which suggests that the data collection phase is still ongoing.

(B) Searching for credible sources: This is the most appropriate answer. The nurse is in the process of researching data about best practices for reducing medication errors. This indicates that the nurse is currently searching for credible sources of information, which is a crucial step in the EBP process.

(C) Implementing recommendations: This step involves applying the findings from the research to practice. However, in this scenario, the nurse is still in the research phase, so implementation has not yet occurred.

(D) Identifying a problem: While identifying a problem is an important step in the EBP process, in this scenario, the problem (medication errors on a surgical unit) has already been identified. The nurse is now in the process of researching data, which suggests that the problem identification step has already been completed.

A. Open access peer-reviewed articles must be purchased by the user. B. Editorial opinion articles by journalists can be as relevant as peer-reviewed articles C. Peer-reviewed articles are not considered scholarly sources of evidence. D. Peer-reviewed articles have been through laborious review by other professionals.

Correct Answer is D

Explanation

A. Open access peer-reviewed articles must be purchased by the user: This is not accurate. Open access articles are freely available to the public and do not require purchase.

B. Editorial opinion articles by journalists can be as relevant as peer-reviewed articles: While editorial opinion articles can provide valuable insights, they are not subjected to the same rigorous review process as peer-reviewed articles. Therefore, they are not considered as reliable or authoritative as peer-reviewed articles.

C. Peer-reviewed articles are not considered scholarly sources of evidence: This is incorrect. Peer-reviewed articles are considered one of the highest levels of scholarly sources of evidence. They have been reviewed and approved by experts in the field before publication.

D. Peer-reviewed articles have been through laborious review by other professionals: This is correct. Peer-reviewed articles undergo a rigorous review process by experts in the field, ensuring the research is of high quality and the findings are valid.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is caring for a group of patients. Which of the the following patients should the nurse evaluate first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is researching data about best practice for reducing medication errors on a surgical unit. Which of the following steps of evidence-based practice (EBP) is the nurse taking?

Correct Answer is B

Explanation

A nurse is preparing an in-service about evidence-based practice (EBP). Which of the following information should the nurse include about peer-reviewed sources of information?

Correct Answer is D

Explanation

A nurse is preparing to administer chlordiazepoxide 10 mg PO tid. The amount available is chlordiazepoxide 5 mg/capsule. How many capsules should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is collecting data from a client who is receiving continuous cardiac monitoring that is indicating premature ventricular contractions (PVCs). Which of the following findings should the nurse expect when assessing the client?

A nurse is collecting data from a client who has alcohol use disorder and is experiencing metabolic acidosis. Which of the following manifestations should the nurse expect?

A nurse is caring for a client who has acute kidney injury. The client's ABGS are: PH:7.26 PaCO2: 30 mm Hg HCO3: 14 mEq/L Which of the following acid-imbalances should the nurse identify the client is experiencing?

A nurse is collecting data from a client who is at the end of life. Which of the following findings should the nurse expect?

A nurse is planning to use the nursing process to care for a client who is experiencing grief. Which of the following actions should the nurse take first?

A nurse is reinforcing preoperative teaching with a client who will undergo abdominal surgery. The nurse explains that the client will wear antiembolism stockings after the procedure. When the client asks what the stockings do, which of the following responses should the nurse make?

A nurse is reviewing the medical record of a client who has metabolic acidosis. The nurse should realize that which of the following findings contributes to the development of metabolic acidosis?