The nurse begins the assessment of a client that has come to the emergency department experi-encing chest pain by asking the client about:
1. A family history of heart problems
2. Medications currently being taken at home
3. Questions or concerns about hospitalization
4. The onset, severity, and duration of the chest pain
ANS: 4
If a client comes to the emergency department with chest pain, the nurse should first ask the cli-ent about the onset, severity, and duration of the chest pain. In an emergency situation, the cli-ent's current health problem becomes the priority assessment. Initially, the nurse should not ask questions regarding family history. Gathering data about the problem currently affecting the cli-ent has greater priority. Asking the client about medications taken at home is appropriate, but not at this time. The priority is to assess the symptoms the client is experiencing. Asking the client about concerns regarding hospitalization is not the priority.
You might also like to view...
You are caring for a patient who underwent surgery to remove part of a tumor that is affecting his breathing, and is placed on narcotic medication for pain management. You know that this patient is MOST LIKELY getting what type of therapy?
A. Palliative Care B. Radiotherapy C. Adjuvant D. Chemotherapy
The largest health system to deploy a PHR in the United States is __________________:
Fill in the blank(s) with correct word
A nurse caring for a female patient with TB who is in isolation is aware that the patient's love and belonging needs may not be properly met. Which of the following nursing action would help to meet these needs?
A) respecting the patient's values and beliefs B) focusing on the patient's strengths rather than problems C) using hand hygiene and sterile technique to prevent infection D) encouraging family to visit and help in the care of the patient
A first-time father is experiencing couvade syndrome. He is likely to exhibit which of the following symptoms or behaviors?
a. Urinary frequency b. Hypotension c. Bradycardia d. Prostatic hypertrophy