Nokea
The nurse is assessing a client with endocarditis. Which finding is most concerning?
- A. Fever of 102°F
- B. Mild fatigue
- C. Heart rate of 90 beats per minute
- D. Blood pressure of 130/85 mmHg
Correct Answer: A
Rationale: Fever is a hallmark of endocarditis and may indicate ongoing infection, requiring prompt attention.
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Which intervention should the nurse prioritize for a client with heart failure experiencing shortness of breath?
- A. Administer oxygen as prescribed.
- B. Place the client in a supine position.
- C. Encourage deep breathing exercises.
- D. Restrict all fluid intake.
Correct Answer: A
Rationale: Administering oxygen improves oxygenation in clients with shortness of breath due to heart failure.
The nurse is teaching a class on coronary artery disease. Which modifiable risk factor should the nurse discuss when teaching about atherosclerosis?
- A. Stress.
- B. Age.
- C. Gender.
- D. Family history.
Correct Answer: A
Rationale: Stress (A) is a modifiable risk factor for atherosclerosis (e.g., via lifestyle changes). Age (B), gender (C), and family history (D) are non-modifiable.
Which instruction should the nurse provide to a client with a new implantable cardioverter-defibrillator (ICD)?
- A. Avoid strong magnetic fields.
- B. Carry heavy bags on the affected side.
- C. Resume contact sports in 2 weeks.
- D. Ignore any shocks you feel.
Correct Answer: A
Rationale: Strong magnetic fields can interfere with ICD function, so clients should avoid them.
The client with coronary artery disease asks why they need a stress test. What is the best response?
- A. It checks for blood clots in your heart.
- B. It evaluates how your heart works under stress.
- C. It measures your cholesterol levels.
- D. It monitors your blood pressure.
Correct Answer: B
Rationale: A stress test assesses heart function during physical stress to detect ischemia or blockages.
The client with hypertension reports dizziness when standing. What should the nurse assess first?
- A. Blood glucose level
- B. Orthostatic blood pressure
- C. Urine output
- D. Respiratory rate
Correct Answer: B
Rationale: Dizziness when standing suggests orthostatic hypotension, which should be confirmed by measuring blood pressure in lying, sitting, and standing positions.