A client one (1) day postoperative for coronary artery bypass graft (CABG) reports chest pain.
Which intervention should the nurse implement first?

Notify the healthcare provider.

Assess the client's vital signs and check the telemetry monitor.

Encourage the client to take deep breaths.

Administer pain medication immediately.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Notifying the healthcare provider is necessary, but assessing the client's condition comes first to provide relevant information.

Choice B rationale

Assessing the client's vital signs and telemetry monitor is the first step to determine the cause of chest pain and ensure it is not due to a life-threatening issue such as myocardial infarction.

Choice C rationale

Encouraging the client to take deep breaths can be helpful but is not the first priority. It addresses pain related to breathing but not the underlying cause.

Choice D rationale

Administering pain medication is important, but only after determining the cause of the chest pain and ruling out serious complications.

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Correct Answer is C

Explanation

Choice A rationale

Fluticasone is a corticosteroid used to manage asthma and COPD symptoms and does not typically require clarification.

Choice B rationale

Furosemide is a diuretic used to manage fluid overload in heart failure and does not require clarification.

Choice C rationale

Carvedilol is a non-selective beta-blocker that can exacerbate asthma symptoms and bronchospasm. It should be avoided in clients with a history of asthma.

Choice D rationale

Isosorbide dinitrate is a nitrate used to manage angina and heart failure and does not require clarification.

A. Monitoring blood glucose levels more frequently. B. Increasing sodium intake. C. Stopping all other diabetes medications. D. Skipping meals to prevent hyperglycemia.

Correct Answer is A

Explanation

Choice A rationale

Monitoring blood glucose levels more frequently is critical when a client with type 1 diabetes is taking prednisone, as corticosteroids can raise blood glucose levels and potentially cause hyperglycemia.

Choice B rationale

Increasing sodium intake is not recommended for clients with type 1 diabetes and is unrelated to the management of prednisone-induced hyperglycemia.

Choice C rationale

Stopping all other diabetes medications is inappropriate and can lead to uncontrolled blood glucose levels. Adjustments may be needed, but discontinuation is not advised without medical supervision.

Choice D rationale

Skipping meals to prevent hyperglycemia is not a safe practice for clients with type 1 diabetes. Maintaining a balanced diet and monitoring blood glucose levels is essential.

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A client one (1) day postoperative for coronary artery bypass graft (CABG) reports chest pain.Which intervention should the nurse implement first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is A

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A client one (1) day postoperative for coronary artery bypass graft (CABG) reports chest pain.
Which intervention should the nurse implement first?