Nokea
An adult who is admitted for a cardiac catheterization asks the nurse if she will be asleep during the cardiac catheterization. What is the best initial response for the nurse to make?
- A. You will be given a general anesthesia.'
- B. You will be sedated but not asleep.'
- C. The doctor will give you an anesthetic if you are having too much pain.'
- D. Why do you want to be asleep?'
Correct Answer: B
Rationale: During cardiac catheterization, clients receive sedation but remain awake, as their cooperation may be needed. General anesthesia is not used, and pain is managed with sedation, not additional anesthetics. Asking 'why' may make the client defensive and does not provide the requested information.
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An adult client with peripheral vascular disease tells the nurse he is afraid his left leg is not improving and may need to be amputated. How should the nurse respond?
- A. You and your wife should discuss your feelings before surgery.'
- B. You sound concerned about your leg and possible surgery.'
- C. It is better to have an amputation when the ulcers are not improving.'
- D. You don't need to be afraid of surgery.'
Correct Answer: B
Rationale: Reflecting the client’s concern encourages open communication and validates his feelings, promoting therapeutic dialogue.
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.
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.
When the client asks the nurse how cholesterol acts as a cardiac risk factor, what is the best explanation?
- A. Excess fat in the blood expands the circulating blood volume.
- B. Excess fat in the blood thickens the lining of the arteries.
- C. Excess fat in the blood causes slower blood clotting.
- D. Excess fat in the blood stimulates the heart to beat faster.
Correct Answer: B
Rationale: High cholesterol contributes to atherosclerosis, where excess fat (lipids) deposits thicken and harden the arterial walls, narrowing the lumen and increasing cardiac risk.
If the client develops digoxin toxicity, what would the nurse expect the client to exhibit?
- A. Anorexia and nausea
- B. Dizziness and insomnia
- C. Pinpoint pupils and double vision
- D. Ringing in the ears and itchy skin
Correct Answer: A
Rationale: Digoxin toxicity commonly causes anorexia, nausea, and vomiting due to gastrointestinal effects.