Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Adult

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You were assigned to all of the following patients. Which patient should you assess first?
  1. A 10-year-old patient who is scheduled for cholecystectomy in an hour
  2. A patient with tramadol drip, which is due in 30 minutes
  3. A patient who is on maximal medical therapy for 24 hours with persistent chest pain
  4. A patient with body temperature of 101.2°F
Explanation
Answer - C - The patient that you should assess first is a patient who is on maximal medical therapy for 24 hours with persistent chest pain. Chest pain could be a sign of a myocardial infarction, unstable angina, or life threatening pulmonary embolus. The nurse needs to assess the patient for fluctuations in blood pressure, cardiac rate and rhythm, and ECG. Further assessment of accompanying symptoms and precipitating factors to the chest pain should be performed.
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