A nurse is caring for a client who is scheduled for an exercise stress test. Which of the following comments made by the client should indicate to the nurse that the client requires further teaching?
"I'll skip my coffee the morning of my test."
"I'll take my heart medications the morning of my test."
"I'll get 8 hours of sleep the night before the test."
"I will not smoke prior to my test."
The Correct Answer is B
An exercise stress test is a diagnostic procedure that measures the heart's response to physical activity. The client is instructed to walk on a treadmill or pedal a stationary bike while their heart rate, blood pressure, and electrocardiogram are monitored. The test can help detect coronary artery disease, arrhythmias, or other cardiac problems.
The client should follow certain guidelines before the test, such as:
- Avoiding caffeine, nicotine, alcohol, and stimulants for at least 4 hours before the test, as they can affect the heart rate and blood pressure.
- Fasting for at least 2 hours before the test, as eating can affect the blood flow to the heart.
- Getting adequate rest and sleep the night before the test, as fatigue can affect the performance and results of the test.
- Wearing comfortable clothing and shoes that are suitable for exercise.
- Informing the provider of any medications they are taking, as some medications may need to be withheld or adjusted before the test, such as beta blockers, calcium channel blockers, nitrates, or antiarrhythmics. These medications can affect the heart rate and blood pressure and interfere with the interpretation of the test results.
Therefore, the comment made by the client that indicates a need for further teaching is "I'll take my heart medications the morning of my test." The client should consult with their provider about whether they should take their heart medications or not before the test. The other comments made by the client are appropriate and indicate that they understand the pre-test instructions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Using simple language is helpful, but speaking in a childlike manner can be demeaning and may lower the client’s self-esteem. Communication should remain respectful and age-appropriate.
B. Incorporating nonverbal cues such as gestures, facial expressions, pictures, and written words supports understanding. Clients with aphasia often benefit from visual aids and other alternative communication strategies to enhance comprehension.
C. Raising the pitch of the voice does not improve comprehension in aphasia because the issue is related to language processing rather than hearing ability. A normal tone should be maintained unless the client has a hearing impairment.
D. Asking multiple-choice questions can sometimes assist with expressive aphasia; however, relying solely on this method may limit natural communication. The broader and more supportive approach is to incorporate nonverbal communication techniques.
Correct Answer is C
Explanation
Performing neurovascular checks with vital signs is an important action to take following a cardiac catheterization accessed through the femoral artery, as it can help monitor for complications such as bleeding, hematoma, infection, thrombosis, or embolism. The nurse should assess the color, temperature, sensation, movement, and pulses of the affected leg, as well as the blood pressure, heart rate, and oxygen saturation of the client.
Instructing the client to perform range-of-motion exercises to his lower extremities is not appropriate, as it can increase the risk of bleeding or dislodging the arterial sheath or closure device. The client should keep the affected leg straight and avoid bending or lifting it for several hours after the procedure, or as directed by the provider.
Restricting the client's fluid intake is not necessary, as fluid intake can help prevent dehydration and contrast- induced nephropathy following a cardiac catheterization. The client should be encouraged to drink fluids, unless contraindicated.
dAmbulating the client 1 hr following the procedure is not advisable, as it can cause bleeding, hematoma, or vascular injury. The client should remain on bed rest for 2 to 6 hours after the procedure, or as directed by the provider, and resume ambulation gradually and with assistance.
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