A client is experiencing chest pain that occurs in the third ...

[sabina]

A client is experiencing chest pain that occurs in the third costochondral joint. The onset was sudden; it radiated to the shoulders; and it becomes worse when taking a deep breath or twisting the torso.
 
  The nurse suspects that this client is experiencing:
  1. aortic dissection.
  2. pulmonary embolus.
  3. pneumothorax.
  4. musculoskeletal-costochondritis.

Question 2

A client tells the nurse that he is anemic because of a poor diet. Which deficiencies cause nutritional anemias? (Select all that apply.)
 
  1. Iron deficiency
  2. Folic acid deficiency
  3. Vitamin C deficiency
  4. Vitamin D deficiency
  5. Vitamin A deficiency
  6. Vitamin B-12 deficiency

[srodz]

Answer to Question 1

4
The pain of costochondritis includes locations at the 3rd, 4th, or 5th costochondral joint; a sudden or gradual onset; and radiation to the shoulders. Costochondritis is aggravated by deep inspirations or twisting. The pain of aortic dissection is sudden and tearing, and it radiates to the shoulders, neck, back, and abdomen. The pain of a pulmonary embolus includes a sudden, sharp pleuritic pain that varies with respiration. The pain of a pneumothorax is a sudden onset of tearing or pleuritic pain that is worsened by breathing.

Answer to Question 2

1, 2, 6
Nutritional anemias can be caused by deficiencies in iron, folic acid, or vitamin B-12. A vitamin D deficiency can cause osteomalacia or rickets. Vitamin C or vitamin A deficiencies do not cause anemia.