A 50 year-old male with a history of endocarditis reports he is having a hard time breathing and it feels like an elephant is sitting on his chest. Which interventions are an emergent priority? Select all that apply.

 

Want to Take FREE Nursing Practice Questions?

We have put together the World's Largest Bank of Nursing Practice Questions, and are letting you have access for FREE! You get to test out the system with 25 free nursing practice questions to start, and then memberships start at only a few bucks per month! Get started now for free - no credit card required!

Correct

- Obtain an ECG

- Assess oxygen saturation

- Auscultate the lungs

- Assess for recent IV drug use

- Ask the patient to cough

Rationale

The main concerns for anyone with pain in the chest area is a heart issue (myocardial infarction) or lung issue (Pulmonary Embolism). The first thing to do is to get an ECG, followed by checking the oxygen saturation. Listening to lung sounds is important and you will do this eventually, but lungs sounds at this time will not give you emergent life-saving information. Asking the patient about drug use and to cough can be helpful but it is not going to diagnose any life threatnening issues, and therefore is not the priority.

References:

How Would You Rate The Quality of This Question?

We’re always trying to improve, so your feedback is vital to helping us make this resource as good as possible. Was it well written? Good content?

How Other Nurses Stack Up

3%

Answered The Question Correctly.

Question Information

NCLEX Category

Management of Care

Question Difficulty
Total - 39
Correct - 1
Percent Right - 2.5641025641
User Feedback
0
2

 

Question ID - 368903

View All Other Nursing Practice Questions