The nurse is conducting a health history with a female client who reports upper back and jaw pain. In order to assess the client's risk for a cardiac event, which question should the nurse ask first?

"Is the pain worse on exertion?"

"Is the pain worse when you are lying down?"

"Do you have any pain or discomfort in your chest?"

"Do you have cramping pain?"

Answer and Explanation

The Correct Answer is C

A. "Is the pain worse on exertion?": While this is an important question for assessing cardiac risk, it is secondary to identifying any chest pain.

B. "Is the pain worse when you are lying down?": This question is more relevant for assessing musculoskeletal or gastrointestinal issues rather than cardiac risk.

C. "Do you have any pain or discomfort in your chest?": Chest pain or discomfort is a primary symptom associated with cardiac events, making this the most critical question to ask first.

D. "Do you have cramping pain?": This is not specific enough to determine cardiac risk and is more related to gastrointestinal or muscle-related issues.

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Correct Answer is C

Explanation

Rationale:
A. Fever: While fever might be a symptom of infection, it is not specific to inner ear infections.

B. Headache: This can be a symptom associated with inner ear infections, but vertigo is a more specific concern.

C. Vertigo: Inner ear infections often cause vertigo (dizziness or spinning sensations), so interventions for managing vertigo are crucial.

D. Rhinorrhea: This symptom is more commonly associated with upper respiratory infections rather than inner ear infections.

A. Problem-oriented assessment B. Follow-up history C. Comprehensive assessment D. Emergency history

Correct Answer is B

Explanation

A. Problem-oriented assessment: This focuses on specific issues or symptoms rather than evaluating outcomes of an established care plan.

B. Follow-up history: This type of assessment is conducted to evaluate the effectiveness of interventions and monitor progress towards outcomes identified in the care plan.

C. Comprehensive assessment: This involves a thorough evaluation of the client’s overall health status and history, not specifically focused on evaluating outcomes.

D. Emergency history: This is conducted in urgent situations to quickly assess and address immediate issues, not for evaluating outcomes of a care plan.

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The nurse is conducting a health history with a female client who reports upper back and jaw pain. In order to assess the client's risk for a cardiac event, which question should the nurse ask first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When planning care for a client with an inner ear infection, the nurse will need to include interventions for which of the following potential problems?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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