A client diagnosed with angina pectoris appears to be very anxious and states, "So I had a heart attack, right?" Which response should the nurse make to the client?
"Yes, that's why you are hospitalized."
"Yes, but it will never happen again."
"No, but it is necessary to monitor, control, and eliminate your chest pain."
"No, it is normal to feel chest pain."
The Correct Answer is C
Choice A reason: Telling the client that they are hospitalized due to a heart attack when it is not the case can cause unnecessary anxiety and fear. It is important to provide accurate information and reassurance.
Choice B reason: Stating that it will never happen again is unrealistic and provides false reassurance. It is important to focus on managing the client's condition and reducing the risk of future episodes.
Choice C reason: Explaining that the client did not have a heart attack but emphasizing the importance of monitoring and managing chest pain provides accurate information and reassurance. It helps reduce the client's anxiety and provides a clear plan of action.
Choice D reason: Saying it is normal to feel chest pain without further explanation can cause confusion and anxiety. It is important to clarify that chest pain needs to be monitored and managed to prevent complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
Choice A reason: Cullen's sign is a physical finding of bruising around the umbilicus, often associated with intra-abdominal bleeding or pancreatitis. It is not related to Parkinson's disease.
Choice B reason: Bradykinesia, or slowed movement, is a hallmark symptom of Parkinson's disease. It affects the ability to initiate and control movements.
Choice C reason: Pill rolling is a characteristic hand tremor seen in Parkinson's disease. It involves a rhythmic movement of the fingers as if rolling a small object between them.
Choice D reason: Unilateral tremors, or tremors occurring on one side of the body, are often one of the early signs of Parkinson's disease. The tremors typically start on one side and may progress to affect both sides.
Choice E reason: Swan neck deformity is a feature of rheumatoid arthritis, involving deformity of the fingers. It is not associated with Parkinson's disease.
Correct Answer is D
Explanation
Choice A reason: Chronic open-angle glaucoma is a gradual condition that usually progresses without noticeable symptoms until significant vision loss has occurred. It is characterized by the gradual buildup of pressure within the eye, but it does not present with sudden, severe symptoms.
Choice B reason: Retinal detachment presents with symptoms such as flashes of light, floaters, and a curtain-like shadow over the field of vision, but it does not typically cause severe pain or pressure in the eyes.
Choice C reason: Cataracts cause blurred vision and decreased visual acuity but develop slowly over time and do not cause sudden severe eye pain or extreme pressure.
Choice D reason: Acute angle-closure glaucoma is characterized by sudden, severe eye pain, blurred and decreased visual acuity, and increased intraocular pressure. This condition is a medical emergency that requires immediate treatment to prevent permanent vision loss.
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