Nokea
The nurse is preparing a client for cardioversion. Which instruction is most important?
- A. You will be awake during the procedure.
- B. You must not eat for 4 hours after.
- C. You will receive sedation before the procedure.
- D. You can resume normal activity immediately.
Correct Answer: C
Rationale: Sedation is used during cardioversion to ensure comfort and amnesia during the procedure.
You may also like to solve these questions
Which teaching point should the nurse include for a client with endocarditis? Select all that apply.
- A. Report fever or chills immediately.
- B. Brush teeth gently to avoid gum bleeding.
- C. Avoid sharing toothbrushes.
- D. Take antibiotics for the full course.
- E. Monitor for signs of heart failure.
- F. Limit physical activity during treatment.
Correct Answer: A,B,C,D,E,F
Rationale: Reporting symptoms, gentle oral hygiene, avoiding shared items, completing antibiotics, monitoring heart failure, and limiting activity prevent complications.
The nurse is discussing the pathophysiology of atherosclerosis with a client who has a normal high-density lipoprotein (HDL) level. Which information should the nurse discuss with the client concerning HDLs?
- A. A normal HDL is good because it has a protective action in the body.
- B. The HDL level measures the free fatty acids and glycerol in the blood.
- C. HDLs are the primary transporters of cholesterol into the cell.
- D. The client needs to decrease the amount of cholesterol and fat in the diet.
Correct Answer: A
Rationale: Normal HDL (A) is protective, removing cholesterol from arteries. HDL doesn’t measure fatty acids (B) or transport cholesterol into cells (C), and diet (D) is unrelated to normal HDL.
The nurse is monitoring a client with atrial fibrillation. Which finding is most concerning?
- A. Heart rate of 110 beats per minute
- B. Blood pressure of 140/90 mmHg
- C. Dizziness and shortness of breath
- D. Oxygen saturation of 95%
Correct Answer: C
Rationale: Dizziness and shortness of breath suggest hemodynamic instability, which is concerning in atrial fibrillation.
The nurse is discussing the importance of exercising with a client who is diagnosed with coronary artery disease. Which statement best describes the scientific rationale for encouraging 30 minutes of walking daily to help prevent complications of atherosclerosis?
- A. Exercise promotes the development of collateral circulation.
- B. Isometric exercises help develop the client's muscle mass.
- C. Daily exercise helps prevent plaque from developing in the vessel.
- D. Isotonic exercises promote the transport of glucose into the cell.
Correct Answer: A
Rationale: Walking promotes collateral circulation (A), improving blood flow in CAD. Isometric exercises (B) increase BP, plaque prevention (C) is indirect, and glucose transport (D) is unrelated.
The client is admitted for surgical repair of an 8-cm abdominal aortic aneurysm (AAA). Which sign/symptom would make the nurse suspect the client has an expanding AAA?
- A. Complaints of low back pain.
- B. Weakened radial pulses.
- C. Decreased urine output.
- D. Increased abdominal girth.
Correct Answer: A
Rationale: Low back pain (A) suggests AAA expansion or rupture, a critical sign. Radial pulses (B) are unaffected, low urine (C) is a late sign, and girth (D) is less specific.