G.R. is a 75-year-old male who presents to the emergency department with chest pain, palpitations, and appears pale and diaphoretic. As the history and physical are completed, the following problems emerge. Please label them first-, second-, or third-level priority problems. e. Unfamiliar with heart-healthy dietary guidelines

Correct Answer: C

Rationale: The correct answer is C: Third-level. Unfamiliarity with heart-healthy dietary guidelines is a third-level priority problem because it is not immediately life-threatening or critical to address in the emergent setting. First-level priority problems are those directly impacting the patient's ABCs (airway, breathing, circulation) or immediate safety. Second-level priority problems are important but do not require immediate intervention to prevent harm. In this case, addressing the chest pain, palpitations, and the patient's appearance of being pale and diaphoretic are first- and second-level priorities as they may indicate a more urgent medical condition that needs immediate attention to ensure the patient's safety and stabilization.

Correct Answer: B

Rationale: The correct answer is B: 60°. Scapulothoracic motion contributes to shoulder abduction by allowing the scapula to upwardly rotate and tilt posteriorly. Since shoulder abduction involves 180°, scapulothoracic motion accounts for half of this motion, which is 90°. Therefore, the correct answer is 60°, as it represents the scapulothoracic motion involved in shoulder abduction. Choices A, C, and D are incorrect because they do not accurately reflect the scapulothoracic motion required for shoulder abduction based on the given information.

Correct Answer: C

Rationale: The correct answer is C: The median nerve. The carpal tunnel is a narrow passageway in the wrist where the median nerve and nine flexor tendons pass through. The median nerve is responsible for providing sensory and motor functions to the thumb, index, and middle fingers. The ulnar nerve passes outside the carpal tunnel and innervates the ring and little fingers. The radial nerve also does not pass through the carpal tunnel, as it supplies motor function to the muscles of the forearm. The five finger flexor tendons pass through the carpal tunnel along with the median nerve, but the question specifically asks for structures passing through, making C the correct answer.

Correct Answer: C

Rationale: Heberden's nodes are bony swellings that develop at the distal interphalangeal joints of the fingers, characteristic of osteoarthritis. The nodes result from osteophyte formation and joint degeneration seen in OA, especially in older individuals. In rheumatoid arthritis (choice A), joint inflammation is more symmetrical and involves the proximal interphalangeal joints. Psoriatic arthritis (choice B) typically presents with dactylitis and nail changes. Gout (choice D) manifests as acute arthritis due to urate crystal deposition, not bony nodules.

Correct Answer: A

Rationale: Step-by-step rationale: 1. Intuition is the correct answer because it refers to the subconscious processing of assessment data by expert nurses. 2. Expert nurses rely on intuition to make quick and accurate decisions based on their experience and pattern recognition. 3. Intuition allows nurses to act without consciously labeling or analyzing the assessment data. 4. The nursing process (B) involves a systematic approach to care, not necessarily based on subconscious responses. 5. Clinical knowledge (C) is important but does not specifically refer to the subconscious pattern recognition seen in intuition. 6. Diagnostic reasoning (D) involves a more deliberate and analytical process compared to the quick, pattern-based responses of intuition. Summary: Intuition is the correct choice as it describes the subconscious response of expert nurses to assessment data. The other options, the nursing process, clinical knowledge, and diagnostic reasoning, do not specifically capture the automatic, pattern-based nature of expert nurse responses.