Nokea
What is included in the correct technique for BP measurements?
- A. Always take the BP in both arms
- B. Position the patient supine for all readings
- C. Place the cuff loosely around the upper arm
- D. Take readings at least two times at least 1 minute apart
Correct Answer: D
Rationale: Consistent technique ensures accurate BP readings.
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The client is taking Flecainide for arrhythmias. What type of anti- arrhythmic medication is this:
- A. Class IB
- B. Class II
- C. Class IB
- D. Class IC
Correct Answer: D
Rationale: The correct answer is D: Class IC. Flecainide belongs to Class IC anti-arrhythmic medications, which work by blocking sodium channels in the heart, slowing down the conduction of electrical impulses. This helps stabilize the heart's rhythm. Class IB medications (Choice A) work by blocking sodium channels as well, but they do not slow conduction as much as Class IC. Class II medications (Choice B) are beta blockers and do not directly affect sodium channels. Choice C is a duplicate of Choice A, which is incorrect.
It would be important to tell the membership of a senior citizens' club about coronary artery disease (CAD) that CAD often goes unrecognized because
- A. it is painless
- B. it is difficult to diagnose
- C. lipid levels are unreliable
- D. it is not a major health problem
Correct Answer: A
Rationale: CAD can progress silently without noticeable symptoms.
When teaching Joan about her low-sodium diet, the nurse should include information about
- A. Important exercise routines
- B. Using baking soda in cooking
- C. Purchasing special dietetic foods
- D. Developing a routine
Correct Answer: D
Rationale: Routine adherence ensures dietary compliance.
A few days after experiencing a myocardial infarction (MI) and successful percutaneous coronary intervention, the patient states, “It was just a little chest pain. As soon as I get out of here, I’m going for my vacation as planned.” Which reply would be most appropriate for the nurse to make?
- A. “What do you think caused your chest pain?”
- B. “Where are you planning to go for your vacation?”
- C. “Sometimes plans need to change after a heart attack.”
- D. “Recovery from a heart attack takes at least a few weeks.”
Correct Answer: C
Rationale: The correct answer, C, is appropriate because it addresses the patient's unrealistic expectations after a heart attack. It acknowledges the seriousness of the situation and gently suggests that plans may need to be adjusted for health reasons. Choice A doesn't directly address the patient's future plans. Choice B focuses on vacation plans rather than the patient's health. Choice D is incorrect as it doesn't address the patient's immediate plans and may not be necessary to state a specific recovery timeline at this point. It's important to prioritize the patient's understanding and acceptance of their condition.
The nurse would assess for which of the following manifestations in a client with suspected arterial embolism to the left hand? Select all that apply.
- A. Pain
- B. Pale skin
- C. Bounding radial pulse
- D. Parasthesias
Correct Answer: A
Rationale: The correct answer is A: Pain. Arterial embolism results in decreased blood flow to the affected area, leading to tissue ischemia and pain. Pale skin (B) is a sign of decreased blood flow but may not always be present initially. A bounding radial pulse (C) is unlikely in the presence of an arterial embolism as it indicates increased blood flow. Parasthesias (D) may occur due to nerve compression but are not as specific to arterial embolism as pain. Pain is a key manifestation due to tissue ischemia and should be assessed promptly to prevent further complications.