Nokea
Define Unstable Angina.
- A. Chest pain at rest
- B. Chest pain during exertion
- C. Chest pain relieved by nitroglycerin
- D. None of the above
Correct Answer: A
Rationale: Unstable angina is characterized by chest pain occurring at rest and not relieved by usual treatments.
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The nurse is instructing the client on the taking of aspirin. What would be part of that instruction?
- A. Take aspirin on an empty stomach.
- B. Take aspirin along with the daily dose of warfarin.
- C. Discard any aspirin that smells like vinegar.
- D. Aspirin can be taken by a hemophiliac.
Correct Answer: C
Rationale: The correct answer is C: Discard any aspirin that smells like vinegar. This instruction is important as it indicates that the aspirin may have degraded and is no longer effective or safe for use. Taking expired medication can be harmful.
Explanation of why other choices are incorrect:
A: Taking aspirin on an empty stomach can increase the risk of stomach irritation and ulcers.
B: Warfarin and aspirin should not be taken together without medical supervision as they both increase the risk of bleeding.
D: Aspirin is contraindicated in hemophiliacs as it further increases the risk of bleeding.
Which finding is associated with a blue tinge around the lips and conjunctiva?
- A. Finger clubbing
- B. Central cyanosis
- C. Peripheral cyanosis
- D. Delayed capillary filling time
Correct Answer: B
Rationale: Central cyanosis reflects systemic hypoxemia.
The client has paroxysmal supraventricular tachycardia. What are some causes of this? Select all that apply.
- A. Stress
- B. Hypotension
- C. Stimulants
- D. Hypertension
Correct Answer: C
Rationale: The correct answer is C: Stimulants. Paroxysmal supraventricular tachycardia (PSVT) is often caused by triggers like caffeine, nicotine, or illegal drugs that stimulate the heart's electrical system. Stress (A) can exacerbate PSVT but not directly cause it. Hypotension (B) and hypertension (D) are related to blood pressure and not primary causes of PSVT.
Which of the following is an appropriate nursing intervention for clients with varicose veins?
- A. The nurse assesses the appearance of the ankles and the quality of circulation extending downward.
- B. The nurse assesses the skin, distal circulation, and peripheral edema.
- C. The nurse obtains the family history and identifies the characteristics of the pain.
- D. The nurse assesses the characteristics of chest pain.
Correct Answer: B
Rationale: Assessing skin integrity, distal circulation, and peripheral edema helps monitor complications related to varicose veins.
Which lifestyle changes should a client diagnosed with coronary artery disease consider?
- A. Smoking cessation
- B. Establishing a regular exercise routine
- C. Weight reduction
- D. All of the Above
Correct Answer: D
Rationale: The correct answer is D, as all choices are important lifestyle changes for a client with coronary artery disease. Smoking cessation reduces the risk of heart disease, exercise helps improve heart health, and weight reduction can lower the strain on the heart. Each choice addresses a different aspect of managing coronary artery disease, making all of them essential for overall well-being. Therefore, it is crucial for the client to adopt all of these changes to effectively manage their condition and reduce the risk of complications.