Nokea
The nurse must include in the education plan, which of the following components? (Select all that apply.) I. Objectives II. Content and time allotment III. Teaching and learning resources IV. Evaluation parameters
- A. II, III, and IV
- B. I, II, III and IV
- C. I, III, and IV
- D. I, II, and III
Correct Answer: B
Rationale: In order to create a comprehensive education plan, the nurse must include all of the listed components.
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A patient presents with chest pain that occurs during emotional stress and resolves spontaneously. An electrocardiogram (ECG) may show transient ST-segment elevation. Which cardiovascular disorder is most likely responsible for these symptoms?
- A. Stable angina
- B. Unstable angina
- C. Acute myocardial infarction
- D. Takotsubo cardiomyopathy
Correct Answer: D
Rationale: Takotsubo cardiomyopathy, also known as stress-induced cardiomyopathy or broken heart syndrome, presents with symptoms similar to acute coronary syndrome, such as chest pain and ECG changes. In Takotsubo cardiomyopathy, chest pain typically occurs during emotional stress and resolves spontaneously, similar to the scenario described in the question. The ECG may show transient ST-segment elevation. This condition is characterized by a reversible left ventricular dysfunction that can mimic a myocardial infarction. Unlike stable angina (Choice A) and unstable angina (Choice B), Takotsubo cardiomyopathy is not related to coronary artery disease. Acute myocardial infarction (Choice C) typically presents with persistent ST-segment elevation on ECG and is caused by atherosclerotic plaque rupture leading to myocardial infarction, which is not consistent with the transient ST-segment elevation seen in
A patient with chronic obstructive pulmonary disease (COPD) presents with increased dyspnea, wheezing, and productive cough. Which of the following medications is most appropriate for bronchodilation and symptom relief in this patient?
- A. Albuterol (salbutamol)
- B. Diphenhydramine (Benadryl)
- C. Montelukast (Singulair)
- D. Prednisone
Correct Answer: A
Rationale: Albuterol (salbutamol) is a short-acting beta agonist bronchodilator commonly used for quick relief of bronchoconstriction in patients with COPD. It works by relaxing the smooth muscles in the airways, allowing for easier breathing and improved airflow. The patient's increased dyspnea, wheezing, and productive cough are indicative of bronchoconstriction, and albuterol is the most appropriate medication to provide rapid bronchodilation and symptom relief in this situation. Diphenhydramine (Benadryl) is an antihistamine and not typically used for bronchodilation in COPD. Montelukast (Singulair) is a leukotriene receptor antagonist that may be used in the maintenance treatment of COPD but is not the initial choice for acute symptom relief. Prednisone is a cortic
A postpartum client presents with sudden, severe chest pain and dyspnea. Which nursing action is most appropriate?
- A. Placing the client in a semi-Fowler's position
- B. Administering supplemental oxygen therapy
- C. Notifying the healthcare provider immediately
- D. Encouraging the client to perform deep breathing exercises
Correct Answer: C
Rationale: Sudden, severe chest pain and dyspnea in a postpartum client could be indicative of a potential serious condition, such as a pulmonary embolism or postpartum cardiomyopathy, which require immediate medical attention. Therefore, the most appropriate nursing action would be to notify the healthcare provider immediately for further evaluation and management. Placing the client in a semi-Fowler's position may provide some comfort but does not address the underlying cause of the symptoms. Administering supplemental oxygen therapy may be necessary once the healthcare provider assesses the client. Encouraging deep breathing exercises may not be appropriate if the client is experiencing severe chest pain and dyspnea, as it could worsen the situation.
Patient Presley who is ordered for diagnostic pelvic ultrasound asks what preparation she' 11 take. Appropriate preparations for this procedure include_________.
- A. explanation of the procedure
- B. NPO 6 hours before
- C. informed consent
- D. voiding
Correct Answer: D
Rationale: For a diagnostic pelvic ultrasound, one important preparation is to have the patient void or empty their bladder before the procedure. This allows for better visualization of the pelvic organs and structures during the ultrasound scan. A full bladder can obstruct the view and make it difficult to obtain accurate images. Therefore, it is essential for the patient to follow instructions to empty their bladder before the pelvic ultrasound to ensure the best results.
What is the FIRST priority which the nurse must observe in caring for patient with seizure?
- A. Safety
- B. Nutrition
- C. Airway
- D. Mobility
Correct Answer: A
Rationale: The first priority for a nurse caring for a patient experiencing a seizure is safety. Ensuring the safety of the patient is crucial to prevent injury during the seizure episode. This includes clearing the area around the patient of any harmful objects, preventing the patient from falling or hitting their head, placing them in a safe position to prevent aspiration if they vomit, and staying with the patient until the seizure ends. Once the patient is safe, the nurse can then focus on other aspects of care such as assessing airway, providing emotional support, and monitoring for complications.