Nokea
After the coronary arteriogram, the nurse must keep the client flat in bed with the affected leg in which position?
- A. Extended
- B. Flexed
- C. Abducted
- D. Adducted
Correct Answer: A
Rationale: Keeping the leg extended prevents bleeding or hematoma at the femoral artery puncture site by minimizing movement.
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Which assessment finding offers the best evidence that the client can tolerate the activity involved in getting out of bed?
- A. The client's appetite has improved.
- B. The client reports a more restful sleep.
- C. The client's heart rate is stable.
- D. The client can get out of bed without assistance.
Correct Answer: C
Rationale: Stable heart rate indicates the heart can handle the increased demand of activity.
When obtaining a health history from the client, the nurse would expect to learn that which of the following was the client's earliest symptom?
- A. Anorexia
- B. Dyspnea
- C. Nausea
- D. Headaches
Correct Answer: B
Rationale: Dyspnea is often the earliest symptom of left-sided heart failure due to pulmonary congestion.
The nurse understands that the client's hesitation in going to the hospital is an example of which coping mechanism?
- A. Regression
- B. Projection
- C. Denial
- D. Undoing
Correct Answer: C
Rationale: Denial involves minimizing or ignoring symptoms, such as attributing chest pain to muscle strain, delaying medical care.
A prothrombin time test should be performed regularly on persons who are taking which medication?
- A. Heparin
- B. Warfarin
- C. Phenobarbital
- D. Digoxin
Correct Answer: B
Rationale: A prothrombin time test is done to determine the effectiveness of warfarin. A partial thromboplastin time test is used for heparin. Phenobarbital and digoxin do not require regular clotting tests, though serum levels may be monitored for long-term therapy.
Which description of chest pain is most characteristic of a client experiencing myocardial infarction (MI)?
- A. The pain comes and goes.
- B. The pain came on slowly.
- C. The pain is tingling in nature.
- D. The pain has remained continuous.
Correct Answer: D
Rationale: MI pain is typically continuous, severe, and unrelenting, unlike the intermittent pain of angina.