A nurse is caring for a client post transcatheter aortic valve replacement (TAVR). During the first cardiac rehabilitation session, the client tells the nurse, "I do not need to be here. I am feeling so much better, I can do this at home". Which of the following is the appropriate nursing response?

"The cardiac rehab program, can help you safely return to an active lifestyle."

"Your doctor is the expert, and would only recommend what is best for you."

"It's normal to feel that way at first, but once you learn the routine, you'll enjoy it."

"Cardiac Rehab will help you get back to normal"

Answer and Explanation

The Correct Answer is A

Rationale:

A. Encouraging the client to participate in the cardiac rehab program is important for recovery and returning to an active lifestyle.

B. Acknowledging the doctor's expertise is important, but it does not address the client's concerns.

C. This statement may minimize the client's concerns and is not the best response.

D. This statement is not specific and may not address the client's concerns.

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Correct Answer is D

Explanation

Rationale:

A. This is not correct since a sinus tachycardia show have a sinus P wave unlike in the strip.

B. This is incorrect since a junctional rhythm should have a regular ventricular rhythm unlike in the above strip which is irregular.

C. A first degree heart block should have a PR interval greater than 0.20 without a disruption in the atrial to ventricular conduction.

D. This is correct since the rhythm is irregular and the P waves are absent.

A. Petechiae B. Slowing pulse rate C. Confusion D. Pruritus

Correct Answer is A

Explanation

Rationale:

A. Petechiae are small, pinpoint red or purple spots on the skin that may indicate bleeding or thrombocytopenia, which can be a side effect of heparin therapy.

B. Slowing pulse rate is not typically associated with heparin therapy.

C. Confusion is not typically associated with heparin therapy.

D. Pruritus (itching) is not typically associated with heparin therapy.

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A nurse is caring for a client post transcatheter aortic valve replacement (TAVR). During the first cardiac rehabilitation session, the client tells the nurse, "I do not need to be here. I am feeling so much better, I can do this at home". Which of the following is the appropriate nursing response?

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Naxlex Comprehensive Predictor Exams

Identify the following Cardiac Rhythm:

Correct Answer is D

Explanation

A nurse is caring for a client who is receiving intravenous heparin therapy for deep vein thrombosis. The nurse evaluates for side effects of this drug by observing for:

Correct Answer is A

Explanation

A nurse is caring for a client with heart failure (HF) and preparing to give a daily dose of Digoxin (Lanoxin). The nurse understands the rationale for giving this medication for HF is which of the following?

A nurse is caring for a client with an acute myocardial infarction (AMI). The nurse is preparing medications for the client and recognizes that which medication will dilate the client’s coronary blood vessels?

A client has undergone diagnostic testing and received a diagnosis of sinus bradycardia. Which interventions are most appropriate and should be included in the client's plan of care? (SELECT ALL THAT APPLY)

A nurse is caring for a client diagnosed with atrial fibrillation and is receiving heparin. Which of the following findings is the nurse's priority?

The nurse asks a client who is about to have a cardiac catheterization about any allergies. The client states, "I always get a rash when I eat shellfish." Which of the following is the priority nursing action?

A nurse is collecting a medication history from a client who is scheduled to have a cardiac catheterization. Which of the following medications taken by the client interacts with contrast material and places the client at risk for acute kidney injury?

A nurse is caring for a client diagnosed with infective endocarditis. The nurse is aware that which of the following is the priority assessment finding for this patient?