Exam (elaborations)
EAQ with NGN: Cardiac- Questions and Answers
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EAQ with NGN: Cardiac- Questions and Answers
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EAQ with NGN: Cardiac- Questions and Answers1. A 64-year-old male client has arrived for an appointment at the outpatient clinic because of
difficulty breathing and a rash.
History:
Hypertension
Hypothyroidism
Depression
Erectile dysfunction
Chronic back pain
Hyperlipidemia
Anterior wall myocardial infarction (MI) at age 44.Up until the MI, he smoked two packs of
cigarettes per day for 25 years. After the MI, he completed a cardiac rehabilitation program.
His only current physical activity is walking around at work.
He reports sleeping on two pillows and waking at night one to two times per week, gasping
with difficulty breathing and having to get up during the night to urinate. He has noticed
increased irritability and anxiety. Client reports joint and back pain in the evenings. He has
increasing shortness of breath when he walks more than 30 feet and is concerned about a red
scaly rash on his left lower leg.
His body mass index (BMI) is 32 kg/m2. He works Correct Ans-The nurse reviews the
patient history and physical in the EHR to identify relevant cues requiring follow-up.
, EAQ with NGN: Cardiac- Questions and Answers
Choose the most likely options for the information missing from the statement by selecting
from the lists of options provided.
The nurse identifies symptoms related to a possible cardio-respiratory concern including
[nocturia] and [paroxysmal nocturnal dyspnea].
2. "" ""
1100:
Physical assessment performed:
Client is alert and appears visibly anxious.
-Cardiac: Tachycardic; chest pain rated 6/10 scale; shortness of breath upon minimal exertion;
hypertension noted.
-Eyes: Recent reports of blurry vision. Negative for scleral icterus.
-Gastrointestinal (GI): Active bowel sounds. Client reports that he does not feel hungry and
has not been eating much at all this past week.
-Respiratory: Tachypnea. Crackles auscultated in bilateral lower lobes.
-Neurologic: Headache reported. No loss of consciousness.
-Urinary: Client reports nocturia and clear yellow urine in adequate amounts. Correct Ans-
The nurse is analyzing client assessment data to determine a particular client problem or
condition. Based on the information provided, answer the following assessment item.
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