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Question
the nurse is gathering subjective data from a patient during a cardiovascular assessment. which question is particularly appropriate for the nurse to ask when the patient states, my heart seems to skip beats? have you noticed any swelling in the feet and ankles? how often do you awaken at night to use the bathroom? do you have periods of time when you experience uncommon fatigue? do you use tobacco in any form?
Tobacco use can cause cardiac arrhythmias like heart - skipping beats. Swelling in feet/ankles relates more to heart failure fluid retention, night - time bathroom use to fluid balance or kidney function, and fatigue can have multiple non - tobacco related causes. So asking about tobacco use is most relevant to the reported heart - skipping symptom.
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'Do you use tobacco in any form?'