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.
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) S3 heart sounds:
S3 heart sounds are typically associated with heart failure and are not directly related to premature ventricular contractions (PVCs). S3 heart sounds occur during the early diastolic phase and are heard immediately after S2.
B) Irregular pulsations:
This is the correct choice. Premature ventricular contractions (PVCs) can cause irregular pulsations in the pulse. PVCs are premature contractions originating from the ventricles, which can interrupt the normal rhythm of the heart and lead to irregularities in the pulse.
C) Bradycardia:
Premature ventricular contractions (PVCs) can lead to various rhythm disturbances, but bradycardia (slow heart rate) is not typically associated with PVCs. In fact, PVCs often occur in the context of tachycardia (rapid heart rate).
D) Increase in point of maximum impulse (PMI):
An increase in the point of maximum impulse (PMI) is not typically associated with premature ventricular contractions (PVCs). The PMI refers to the location where the apex of the heart is palpated during systole and is not directly affected by PVCs.
Correct Answer is D
Explanation
A. Spirituality can increase feelings of hopelessness: This is generally not the case. Spirituality often provides a sense of hope and meaning, especially during challenging times such as the end of life.
B. Spirituality can increase depression: On the contrary, spirituality often serves as a source of comfort and strength, and can help individuals cope with emotional pain and feelings of depression.
C. Spirituality can increase the desire to hasten death: Spirituality typically helps individuals find meaning and purpose in their experiences, which can actually decrease the desire for a hastened death.
D. Spirituality can increase the quality of life: This is correct. Spirituality often enhances the quality of life, especially near the end of life. It can provide a sense of peace, comfort, and well-being. It can also help individuals make sense of their experiences and find meaning in them
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.