Nokea
A client with a diagnosis of angina pectoris returns to the nursing unit after experiencing an angioplasty. The nurse reinforces instructions to the client regarding the procedure and home care measures. Which statement by the client indicates an understanding of the instructions?
- A. I am considering cutting my workload.
- B. I need to cut down on cigarette smoking.
- C. I am so relieved that my heart is repaired.
- D. I need to adhere to my dietary restrictions.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A healthcare provider is assisting in the care of a client who is having central venous pressure (CVP) measurements taken. The healthcare provider should assist by placing the bed in which position for the reading?
- A. Flat
- B. Semi-Fowler's
- C. Trendelenburg
- D. Reverse Trendelenburg
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
After returning the client to bed following a cardiac catheterization procedure with the left femoral vessel as the access site, the nurse places a sign above the bed instructing the client to remain on bed rest and in which position?
- A. In semi-Fowler's position
- B. With the head of the bed elevated 45 degrees
- C. With the head of the bed elevated no more than 15 degrees
- D. With the foot of the bed elevated as much as tolerated by the client
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The healthcare provider has reinforced dietary instructions to a client with coronary artery disease. Which statement by the client indicates an understanding of the dietary instructions?
- A. I should substitute eggs and milk for meat.
- B. I will eliminate all cholesterol and fat from my diet.
- C. I should routinely use polyunsaturated oils in my diet.
- D. I need to consider becoming a strict vegetarian.
Correct Answer: C
Rationale: The correct answer is C. Using polyunsaturated oils, such as vegetable oils, can help manage cholesterol levels and reduce the risk of heart disease. This dietary change is beneficial for individuals with coronary artery disease as it promotes heart health by improving cholesterol profiles. Substituting eggs and milk for meat (Choice A) may not address the overall dietary needs for managing the condition. Completely eliminating all cholesterol and fat from the diet (Choice B) is not necessary as the body needs some healthy fats. Considering becoming a strict vegetarian (Choice D) is a personal choice and may not necessarily be required to manage coronary artery disease.
The healthcare provider notes this rhythm on the client's cardiac monitor. The healthcare provider next reports that the client is experiencing which heart rhythm?
- A. Normal sinus
- B. Atrial fibrillation
- C. Sinus bradycardia
- D. Ventricular fibrillation
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The client diagnosed with rheumatic heart disease should be advised to notify the dentist before dental procedures for which reason?
- A. The client requires prophylactic antibiotics before treatment.
- B. The client may experience dysrhythmias with high-speed drills.
- C. The client may have an adverse reaction to lidocaine with epinephrine.
- D. The client may develop heart failure during stressful events.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.