Nokea
An adult male is being evaluated for possible dysrhythmia and is to be placed on a Holter monitor. What instructions should the nurse give him to ensure that this test provides a comprehensive picture of his cardiac status?
- A. Remove the electrodes intermittently for hygiene measures.
- B. Exercise frequently while the monitor is in place.
- C. Keep a diary of all your activities while being monitored.
- D. Refrain from activities that precipitate symptoms.
Correct Answer: C
Rationale: Keeping a diary of activities correlates symptoms or dysrhythmias with specific triggers, providing a comprehensive picture for diagnosis.
You may also like to solve these questions
A low-sodium diet has been ordered for an adult client. The nurse knows that the client understands his low-sodium diet when the client selects which menu?
- A. Tossed salad, carrot sticks, and steak
- B. Baked chicken, mashed potatoes, and green beans
- C. Hot dog, roll, and coleslaw
- D. Chicken noodle soup, applesauce, and cottage cheese
Correct Answer: B
Rationale: Baked chicken, mashed potatoes, and green beans are naturally low in sodium. Steak, hot dogs, and chicken noodle soup are typically high in sodium.
Avoiding which of the following foods is the best evidence that the client understands the nurse's dietary instructions?
- A. Pepperoni pizza
- B. Vinegar and oil salad dressing
- C. Liver and onions
- D. Lemon-pepper chicken
Correct Answer: A
Rationale: Pepperoni pizza is high in fat and sodium, which should be avoided in a low-fat, low-sodium diet post-MI.
The nurse is caring for a client who is receiving heparin. What drug should be readily available?
- A. Vitamin K
- B. Caffeine
- C. Calcium gluconate
- D. Protamine sulfate
Correct Answer: D
Rationale: The antidote for heparin is protamine sulfate. Vitamin K is the antidote for warfarin. Calcium gluconate is used for magnesium sulfate overdose. Caffeine is a stimulant and not an antidote.
A 72-year-old man had a total hip arthroplasty eight days ago. He suddenly develops tenderness in his left calf, a slight temperature elevation, and a positive Homan's sign. Which of the following will be included in the initial care of this man?
- A. Warm packs to the left leg
- B. Vigorous massage of the left leg
- C. Placing the left leg in a dependent position
- D. Performing range of motion exercises to the left leg
Correct Answer: C
Rationale: Placing the leg in a dependent position promotes venous return and reduces swelling in suspected deep vein thrombosis. Warm packs, massage, or range of motion may dislodge a clot, increasing embolism risk.
A low-sodium, low-cholesterol, weight-reducing diet is prescribed for an adult with heart disease. The nurse knows that he understands his diet when he chooses which of the following meals?
- A. Baked skinless chicken and mashed potatoes
- B. Stir-fried Chinese vegetables and rice
- C. Tuna fish salad with celery sticks
- D. Grilled lean steak Ascertainly grilled lean steak with carrots
Correct Answer: A
Rationale: Baked skinless chicken and mashed potatoes are low in sodium and cholesterol, making them suitable for a heart-healthy diet. Stir-fried vegetables may contain high sodium sauces, tuna salad may include high-sodium dressings, and grilled steak is higher in cholesterol.