CEN Exam 5 Questions with Verified Solutions
CEN Exam 5 Questions with Verified Solutions A patient complains of dizziness, feeling weaker over the past week, and a fainting episode this morning. Initial vital signs are BP 174/92 mmHg, HR 34 beats/minute, RR 18 breaths/minute, and T 98.4°F (368°What is the priority intervention for this patient? A. Administer oxygen via non-rebreather mask. B. Prepare patient for a STAT computed tomography (CT) scan. C. Activate the rapid response team. D. Initiate IV access with a saline lock. - Answer -A. The patient is at risk for falling due to the chief complaint of dizziness and is also at risk for cardiovascular collapse related to slow pulse. Providing oxygen is indicated given the patient's heart rate and the need to maintain adequate oxygenation. An analysis of chest pain using the mnemonic "PQRST" represents the assessment of: A. Pain, Palliates, Quality, Response, Strength, Tightness B. Pain, Provoke, Quality, Release, Severity, Time C. Provoke, Palliates, Quality, Radiation, Severity, Time D. Provoke, Palliates, Quality, Radiates, Strength, Tightness - Answer -C. This mnemonic describes what assessments need to be made in relation to the chief com. plaint of chest pain. It needs to be established what makes the pain worse ("provoke"), what makes the pain better ("palliates"), a description of what the pain feels like ("quality"), the extent of the pain ("severity"), and when the pain started ("time"). Which assessment technique could contribute to making a diagnosis in a patient with a sudden onset of "tearing" chest pain? A. Perform a right-sided 12-lead electrocardiogram (ECG) B. Assess for pedal edema C. Auscultate heart sounds for a friction rub D. Obtain blood pressure readings in both arms - Answer
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