While completing an admission assessment for a client with unstable angina, which closed ended questions should the nurse ask about the client's chest pain?

Tell me about the activities that cause your pain?

Does your pain occur when walking short distances?

When did you first notice the pain in your chest?

How do you feel when the pain becomes noticeable?

Answer and Explanation

The Correct Answer is B

A. This is an open-ended question, not closed-ended.

B.   A closed-ended question like "Does your pain occur when walking short distances?" is specific and allows the nurse to understand the triggers and pattern of the pain, which is important for assessing unstable angina.
C.   "When did you first notice the pain in your chest?" is also a relevant question but less specific to understanding the current pattern and triggers of the pain.
D.   "How do you feel when the pain becomes noticeable?" is open-ended and less specific in identifying triggers and patterns of the pain.

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Correct Answer is A

Explanation

A. The client with viral meningitis and a slight increase in temperature can be managed by a PN, as this change in status is less acute and requires standard nursing care and monitoring.

B. The client with myxedema coma experiencing a significant drop in blood pressure requires more complex and immediate intervention by an RN due to the critical nature of the condition.
C. The client with a subdural hematoma and a significant change in blood pressure needs close monitoring and potential interventions by an RN, given the risk of increased intracranial pressure.
D. The client with diabetic ketoacidosis and a decreased Glasgow Coma Scale score is in a critical state requiring close monitoring and management by an RN.

A. Ask another nurse to talk with the client. B. Document the client's paranoid behavior. C. Postpone the client interview until the next day. D. Attempt to ask the client simple questions.

Correct Answer is D

Explanation

A. Involving another nurse might not necessarily address the client's guarded and suspicious behavior.
B. Documenting the behavior is important for the client's records, but it doesn't address the immediate need for assessment.
C. Postponing the interview might not resolve the client's guarded behavior and could delay necessary assessment.
D. Attempting to ask the client simple questions allows for a non-threatening approach and might gradually build rapport, encouraging the client to engage in conversation.

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While completing an admission assessment for a client with unstable angina, which closed ended questions should the nurse ask about the client's chest pain?

Nursing Test Bank

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