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Before administering digoxin (Lanoxin) to a client diagnosed with heart failure, the nurse should perform which assessment?
- A. Check the blood pressure.
- B. Obtain an electrocardiogram (ECG).
- C. Assess the apical pulse.
- D. Review the latest electrolyte levels.
Correct Answer: C
Rationale: Assessing the apical pulse is crucial before administering digoxin because the medication can lead to bradycardia. Monitoring the apical pulse helps determine the heart rate, and digoxin is typically withheld if the pulse is below 60 beats per minute. This assessment is essential to prevent potential adverse effects associated with digoxin administration.
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The LPN/LVN is collecting data on a client with a diagnosis of angina pectoris who takes nitroglycerin for chest pain. During the admission, the client reports chest pain. The nurse should immediately ask the client which question?
- A. Are you having any nausea?
- B. Where is the pain located?
- C. Are you allergic to any medications?
- D. Do you have your nitroglycerin with you?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which statement indicates that a client with coronary artery disease (CAD) understands disease management?
- A. I will walk for one-half hour daily.
- B. As long as I exercise, I can eat anything I wish.
- C. My weight plays no role in this disease.
- D. My father's high cholesterol is irrelevant.
Correct Answer: A
Rationale: Choice A is the correct answer because regular physical activity, like walking for half an hour daily, is beneficial for managing coronary artery disease (CAD) and promoting heart health. It helps improve circulation, reduce cholesterol levels, and maintain a healthy weight, which are all important factors in managing CAD. Choices B, C, and D are incorrect as they convey misconceptions about disease management for CAD.
A client with a history of angina is scheduled for an exercise electrocardiography (ECG) test. The nurse should explain that the purpose of this test is to evaluate which factor?
- A. The heart's response to physical stress
- B. The client's overall physical fitness
- C. The presence of electrolyte imbalances
- D. The effectiveness of anti-anginal medications
Correct Answer: A
Rationale: An exercise electrocardiography (ECG) test is used to evaluate the heart's response to physical stress. During the test, the heart's electrical activity is monitored while the client exercises, helping to identify any areas of ischemia or abnormal rhythms. This test helps healthcare providers assess the heart's function and detect any potential issues related to angina or other cardiac conditions.
The healthcare provider is preparing to assist in the care of a client who has just returned from coronary artery bypass graft (CABG) surgery. Which is the priority action?
- A. Monitor the client's urine output.
- B. Check the client's surgical dressing.
- C. Measure the client's blood pressure.
- D. Assess the client's level of consciousness.
Correct Answer: D
Rationale: Assessing the client's level of consciousness is the priority action post-CABG surgery to monitor for signs of cerebral hypoxia or other complications that require immediate intervention. Changes in the client's level of consciousness can indicate neurological deterioration, which is critical to address promptly in this postoperative period.
A client has a new prescription for captopril. Which of the following instructions should the nurse include?
- A. Take the medication with food.
- B. Monitor for signs of hypokalemia.
- C. Take the medication at bedtime.
- D. Monitor for a dry cough.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.