MED SURG NCLEX QUESTION TRAINER EXPLANATIONS - Johns Hopkins University TEST 4

1. The nurse has just returned to the desk and has four phone messages to return. Which of the following messages should the nurse return FIRST? 1. A woman in her first trimester of pregnancy complaining of heartburn. 2. A man complaining of heartburn that radiates to his jaw. 3. A woman complaining of hot flashes and difficulty sleeping. 4. A boy complaining of knee pain after playing basketball. Strategy: Determine the least stable client. (1) caused by reflux of gastric contents into esophagus, treatment is small frequent meals, don’t consume fluids with food, don’t wear tight clothing (2) correct–indicates chest pain, needs to seek medical attention immediately (3) caused by menopause, treat with hormone replacement therapy (HRT) (4) should treat with rest and ice