Author Question: A nurse in the ambulatory clinic assesses a 53-year-old woman who states, last night all of the ... (Read 108 times)

deesands · **on:** Jul 11, 2018

A nurse in the ambulatory clinic assesses a 53-year-old woman who states, last night all of the sudden I got really sick, got really hot, and started sweating; then I had chills, and my chest was pounding. Which action by the nurse is priorit

A) Ask if the client had been exposed to anyone who was ill.
B) Check the client's troponin and B-type natriuretic peptide (BNP) labs.
C) Discuss the client's menstrual cycle with her.
D) Review the client's medication history.

Question 2

A 78-year-old home health client has admitted to his nurse that his level of sexual activity with his wife has declined in recent months and become wholly absent over the past several weeks.

The client has implied that this is due to a lack of performance, rather than lack of desire, on his part. What assessment should the nurse prioritize in light of this revelation?

A) Client's medication regimen
B) Client's musculoskeletal system and active range of motion
C) Client's cognitive status and level of consciousness
D) Client's cardiovascular status

shayla · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

Ans: C
Asking about anyone who was ill is broad and generic. Illness is often spread in the prodromal phase when there are no symptoms. Troponin and BNP are indicators of cardiac functioning; women who have an MI are more likely to experience severe fatigue, not heat and chills. Hot flashes are a vasomotor symptom characterized by the sudden onset of heat, perspiration, and flushing that spreads from the head to the trunk. Symptoms last from 1 to 5 minutes and may be accompanied by chills, nausea, anxiety, palpitations, and clamminess. Medications do not relate to these symptoms.

Answer to Question 2

Ans: A
Sexual wellness and sexual performance are affected by multiple factors. However, the effects of medications are highly significant and likely supersede potential changes in strength, cognition, or cardiovascular status.