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. A weight gain of 0.5 kg (1 lb) in a week is not typically concerning for heart failure exacerbation.

B. Skipping a dose of a diuretic can lead to fluid retention and exacerbate heart failure symptoms.

C. Weighing daily is important for monitoring fluid retention, but the specific time of day is not as crucial as consistent timing.

D. A weight gain of 2 lbs. in 24 hours can indicate fluid retention and worsening heart failure.

A. NSTEMI B. Stable Angina C. STEMI D. Unstable Angina

Correct Answer is C

Explanation

Rationale:

A. This is wrong because the ECG leads show ST segment elevation.

B. Stable angina may present with ST segment depression in an ECG unlike in the strip shown above which depicts an ST segment elevation.

C. This is correct because of the ST segment elevation.

D. Unstable angina may have hyperacute T wave, flattening of the T waves, inverted T waves or an ST depression unlike in the above ECG strip.

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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

A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure. Which of the following instructions should the nurse include in the teaching?

Correct Answer is D

Explanation

A nurse is caring for a client with sudden onset of chest pain, the nurse completes the electrocardiogram (ECG). The nurse understands that this client is having what type of acute coronary syndrome?

Correct Answer is C

Explanation

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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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