Nokea
Which finding in a client post-myocardial infarction requires immediate action?
- A. Chest pain lasting 20 minutes
- B. Heart rate of 85 beats per minute
- C. Blood pressure of 135/90 mmHg
- D. Mild anxiety
Correct Answer: A
Rationale: Prolonged chest pain post-myocardial infarction may indicate reinfarction or ischemia, requiring immediate intervention.
You may also like to solve these questions
The nurse is teaching the client about risk factors for arterial disorders. Which modifiable risk factor should the nurse emphasize?
- A. Age over 60 years
- B. Family history of heart disease
- C. Smoking cigarettes
- D. Male gender
Correct Answer: C
Rationale: Smoking is a modifiable risk factor that significantly contributes to arterial disorders by causing vasoconstriction and endothelial damage.
The nurse is demonstrating the use of a blood pressure sphygmomanometer to a client newly diagnosed with hypertension. Which should the nurse teach the client? Select all that apply.
- A. Tell the client to make sure the cuff is placed over an artery.
- B. Teach the client to notify the health-care provider if the BP is >160/100.
- C. Instruct the client about orthostatic hypotension.
- D. Encourage the client to keep a record of the blood pressure readings.
- E. Explain that even when the blood pressure is within normal limits the medication should still be taken.
Correct Answer: A,B,C,D,E
Rationale: Cuff over artery (A), notifying HCP for BP >160/100 (B), orthostatic precautions (C), BP log (D), and continuing meds (E) ensure proper BP management. All apply.
The client with a prosthetic valve asks why they need antibiotics before dental procedures. What is the best response?
- A. To prevent infection of the valve.
- B. To reduce bleeding during the procedure.
- C. To prevent pain during the procedure.
- D. To improve healing after the procedure.
Correct Answer: A
Rationale: Antibiotics prevent bacterial endocarditis by reducing the risk of valve infection during dental procedures.
The client with heart failure is prescribed digoxin. Which finding should the nurse report immediately?
- A. Heart rate of 58 beats per minute
- B. Potassium level of 3.2 mEq/L
- C. Blood pressure of 130/85 mmHg
- D. Respiratory rate of 18 breaths per minute
Correct Answer: B
Rationale: Hypokalemia (low potassium) increases the risk of digoxin toxicity, requiring immediate reporting.
Which discharge instruction should the nurse teach the client diagnosed with varicose veins who has received sclerotherapy?
- A. Walk 15 to 20 minutes three (3) times a day.
- B. Keep the legs in the dependent position when sitting.
- C. Remove compression bandages before going to bed.
- D. Perform Buerger-Allen exercises four (4) times a day.
Correct Answer: A
Rationale: Walking 15–20 minutes 3×/day (A) promotes venous return post-sclerotherapy. Dependent position (B) worsens pooling, bandages (C) stay on, and Buerger-Allen (D) is for arterial disease.