A nurse is caring for a client with a myocardial infarction. The client questions the need for cardiac rehabilitation since "my heart is already damaged." Which of the following is the appropriate nursing response?
"Diet and exercise is good for you and good for your heart."
"It's not unusual to feel that way at first, but once you learn the routine, you'll enjoy it."
"Cardiac rehabilitation cannot undo the damage to your heart, but it can help you get back to your previous level of activity safely."
"Your doctor is the expert here, and I'm sure he would only recommend what is best for you."
The Correct Answer is C
Choice A reason: "Diet and exercise is good for you and good for your heart." This statement is true, but it is not the appropriate nursing response. It does not address the client's concerns or provide any specific information about cardiac rehabilitation. It may also sound dismissive or patronizing to the client.
Choice B reason: "It's not unusual to feel that way at first, but once you learn the routine, you'll enjoy it." This statement is empathetic, but it is not the appropriate nursing response. It does not explain the purpose or benefits of cardiac rehabilitation. It may also sound unrealistic or optimistic to the client.
Choice C reason: "Cardiac rehabilitation cannot undo the damage to your heart, but it can help you get back to your previous level of activity safely." This statement is the appropriate nursing response. It acknowledges the client's condition and provides factual information about cardiac rehabilitation. It also emphasizes the positive outcomes of cardiac rehabilitation, such as improving physical function, reducing symptoms, and preventing further complications.
Choice D reason: "Your doctor is the expert here, and I'm sure he would only recommend what is best for you." This statement is respectful, but it is not the appropriate nursing response. It does not answer the client's question or provide any education about cardiac rehabilitation. It may also sound evasive or deferential to the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: A negative-pressure isolation room is not a suitable room for a client who has scabies. A negative-pressure isolation room is used for clients who have airborne infections, such as tuberculosis or chickenpox. It prevents the contaminated air from escaping the room and infecting other people.
Choice B reason: A positive-pressure isolation room is not a suitable room for a client who has scabies. A positive-pressure isolation room is used for clients who have compromised immune systems, such as those undergoing bone marrow transplants or chemotherapy. It prevents the outside air from entering the room and exposing the client to germs.
Choice C reason: A private room is a suitable room for a client who has scabies. Scabies is a skin infection caused by tiny mites that burrow under the skin and cause intense itching and rash. Scabies can spread easily through direct skin-to-skin contact or sharing personal items, such as clothing or bedding. A private room can prevent the transmission of scabies to other clients or staff.
Choice D reason: A semi-private room with a client who has pediculosis capitis is not a suitable room for a client who has scabies. Pediculosis capitis is an infestation of head lice that feeds on human blood and causes itching and irritation on the scalp. Pediculosis capitis can also spread easily through direct contact or sharing personal items, such as combs or hats. Sharing a room with another client who has pediculosis capitis can increase the risk of cross-infection and complicate the treatment of both conditions.
Correct Answer is B
Explanation
Choice A reason: A black tag is not the appropriate priority tag for this client, as it indicates that the client is dead or has injuries that are incompatible with life. A black tag is used for clients who have no signs of life, such as pulse, respiration, or pupillary response, or who have severe injuries that cannot be treated with the available resources, such as massive head trauma, decapitation, or incineration. A black tag means that no further care or intervention is provided to the client.
Choice B reason: A red tag is the appropriate priority tag for this client, as it indicates that the client has life-threatening injuries that require immediate attention and treatment. A red tag is used for clients who have compromised airway, breathing, or circulation, such as respiratory distress, shock, severe bleeding, chest pain, or head injury. A red tag means that the client is given the highest priority and is treated as soon as possible.
Choice C reason: A green tag is not the appropriate priority tag for this client, as it indicates that the client has minor injuries that do not require urgent care or intervention. A green tag is used for clients who have stable vital signs and can walk or move without assistance, such as abrasions, sprains, fractures, or minor burns. A green tag means that the client is given the lowest priority and is treated after all other clients.
Choice D reason: A yellow tag is not the appropriate priority tag for this client, as it indicates that the client has serious injuries that require observation and treatment within a short time frame. A yellow tag is used for clients who have potential complications or deterioration of their condition, such as abdominal pain, pelvic injury, open wounds, or spinal injury. A yellow tag means that the client is given the second highest priority and is treated within 30 to 60 minutes.
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