CEA Nursing Practice Exam

What should be the focus during an assessment of a patient presenting with acute chest pain?

1. Assessment of breath sounds only.

2. Heart rhythm and rate evaluation.

3. Assessment of allergies and medications.

4. Patient history review only.

The correct answer is: Heart rhythm and rate evaluation.

Focusing on heart rhythm and rate evaluation during an assessment of a patient presenting with acute chest pain is crucial because these factors provide immediate insights into the patient's cardiac status. Abnormalities in heart rhythm, such as arrhythmias, can indicate serious underlying conditions, including myocardial infarction or other cardiac issues. Monitoring the heart rate helps to assess the patient’s level of distress and response to pain. In the context of acute chest pain, understanding the heart's behavior is vital for determining the urgency of any interventions needed. Any anomalies detected can direct clinical decisions, and prompt action can be essential in preventing complications. While evaluating breath sounds, patient history, and allergies or medications are all important aspects of a comprehensive assessment, they do not take precedence over immediate evaluation of the cardiovascular system when a patient is experiencing acute chest pain. The primary concern is often to identify and manage any life-threatening conditions that could arise from cardiac complications.