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."

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. The radial pulse in the left arm can be palpated after a cardiac catheterization with a left antecubital insertion site. Although the focus is typically on the site of insertion and the brachial pulse, the radial pulse in the left arm can still provide useful information about circulation in that limb.
B. The radial pulse in the right arm is not pertinent because the catheterization was performed on the left side.
C. The brachial pulse in the left arm is indeed important to assess, but palpating the radial pulse in the left arm is also valid to check for circulation.
D. The brachial pulse in the right arm is not relevant in this scenario, as it does not relate to the site of catheterization.

A. Hold the client's arms and legs from moving. B. Place the client back in bed. C. Place the client on his side. D. Insert a tongue blade in the client's mouth.

Correct Answer is C

Explanation

Placing the client on his side is an essential action to take during a seizure, as it can prevent airway obstruction and aspiration. The client should be placed on his side, preferably in a lateral recumbent position, to allow saliva and secretions to drain from the mouth.

Holding the client's arms and legs from moving is not appropriate, as it can cause injury, increase agitation, or prolong the seizure. The client should be allowed to move freely during a seizure, but supported and guided away from hazards.

Placing the client back in bed is not necessary, as it can cause harm or delay care. The client should be left on the ﬂoor, unless it is unsafe or uncomfortable, and padded with pillows or blankets to protect from injury.

Inserting a tongue blade in the client's mouth is not advisable, as it can cause oral trauma, choking, or damage to the teeth. The client should not have anything inserted into his mouth during a seizure, as he cannot swallow or bite his tongue. The nurse should ensure that the client's airway is clear and patent.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is evaluating a client who had a cardiac catheterization with a left antecubital insertion site. Which of the following pulses should the nurse palpate?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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