Try Naxlex NCLEX-RN (Free-Trial)

A nurse is caring for a newly-admitted client.

Exhibits
The nurse is developing a plan of care with a cardiac rehabilitation team. Which of the following topics should the nurse recommend the team plan to address with the client? Select all that apply.

Cardioversion therapy

Relaxation techniques

Potential pacemaker placement

Blood pressure management

Meal planning ideas

Nitroglycerin self-administration

Physical activity recommendations

Smoking cessation program

Answer and Explanation

Correct Answer : B,D,E,F,G,H

Rationale:

A. Cardioversion therapy: There is no evidence of arrhythmias requiring cardioversion, such as atrial fibrillation or ventricular tachycardia. The client’s rhythm disturbances are not documented, and this is not relevant to their current clinical condition.

B. Relaxation techniques: The client has a long-standing history of generalized anxiety disorder and is exhibiting current anxiety with fear of dying. Incorporating relaxation strategies can reduce cardiac workload, support mental health, and prevent future anxiety-related complications.

C. Potential pacemaker placement: There is no indication of conduction delays, bradyarrhythmias, or heart block that would warrant pacemaker therapy. The client's vital signs and cardiac history do not support this as a current or anticipated need.

D. Blood pressure management: Although BP is currently stable, the client is post-MI with a history of hyperlipidemia and smoking. Ongoing BP control reduces strain on the heart and is vital to secondary prevention of cardiac events and stroke recurrence.

E. Meal planning ideas: The client is dissatisfied with the hospital diet and has no structured dietary practices at home. Providing cardiac-healthy meal planning strategies can improve lipid profile, manage weight, and prevent diet-related risk factor escalation.

F. Nitroglycerin self-administration: The client recently used nitroglycerin effectively for chest pain relief. Education on proper use, frequency, and when to seek emergency care is essential to empower the client in self-management and prevent complications.

G. Physical activity recommendations: The client currently avoids exercise due to fatigue but requires guided activity to support cardiac recovery. Tailored recommendations from rehab experts can improve endurance, reduce fatigue, and promote cardiovascular fitness safely.

H. Smoking cessation program: Although smoking less frequently, the client is still actively smoking. Smoking is a significant modifiable risk factor for recurrent MI and COPD exacerbation. A structured cessation program supports long-term abstinence and respiratory health.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A,B,C"},"C":{"answers":"B"},"D":{"answers":"B"},"E":{"answers":"A"}}

Explanation

Rationale:

Hypercapnia: This is a hallmark of malignant hyperthermia (MH), resulting from uncontrolled calcium release in muscle cells leading to increased metabolism and CO2 production. It is not typical of latex allergy or hypovolemic shock. Neither condition causes increased carbon dioxide retention from muscle metabolism.
Tachycardia: Elevated heart rate is common in MH due to hypermetabolic state, in latex allergy as part of anaphylaxis response, and in hypovolemic shock as a compensatory mechanism for decreased circulating volume.
Wheezing: Wheezing reflects bronchospasm, a common feature of latex allergy/anaphylaxis, but is not a symptom of MH or hypovolemic shock.
Urticaria (hives): Urticaria is a typical allergic skin reaction seen in latex allergy but is absent in MH and hypovolemic shock.
Muscle rigidity: Muscle rigidity, particularly jaw muscle rigidity (masseter spasm), is a classic sign of MH due to abnormal muscle metabolism. This finding is not associated with latex allergy or hypovolemic shock.

Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"C"}

Explanation

Rationale for Correct Choices:

Intravenous antibiotic: The client shows multiple signs of endometritis: uterine tenderness, foul-smelling lochia, fever, tachycardia, and elevated WBC count. IV antibiotics are the first-line treatment for postpartum uterine infections, particularly after cesarean delivery with risk factors like prolonged rupture of membranes.
Increase in daily fluid intake: Clients with infection and fever require increased hydration to support perfusion, manage elevated metabolic demands, and help clear the infection. Fever and poor bowel motility may also contribute to mild dehydration, making fluid support essential.

Rationale for Incorrect Choices:

Intrauterine tamponade balloon: This is used to control postpartum hemorrhage due to uterine atony or trauma. Although the fundus was boggy, it firmed with massage, and there is no indication of active or excessive bleeding, making tamponade unnecessary.
Kleihauer-Betke test: This test detects fetal blood in the maternal circulation and is used after trauma or suspected fetal-maternal hemorrhage, especially in Rh-negative mothers. It is not relevant to this postpartum infection scenario.
Tocolytic medication: Tocolytics are used during pregnancy to suppress preterm labor by relaxing the uterus. In the postpartum period, they are not indicated and would be contraindicated in the presence of infection, as they can reduce uterine tone and worsen involution.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a newly-admitted client. Exhibits The nurse is developing a plan of care with a cardiac rehabilitation team. Which of the following topics should the nurse recommend the team plan to address with the client? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A,B,C"},"C":{"answers":"B"},"D":{"answers":"B"},"E":{"answers":"A"}}

Explanation

A nurse on a postpartum unit is caring for a client. Exhibits The nurse should anticipate a provider's prescription for a(n) dropdown and dropdown.

Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"C"}

Explanation

A nurse is preparing to perform a sterile dressing change. Which of the following actions should the nurse take when setting up the sterile field?

A nurse in a provider's office is reviewing the laboratory results of a group of clients. The nurse should identify that which of the following sexually transmitted infections is a nationally notifiable infectious disease that should be reported to the state health department?

A nurse in an emergency department is assessing four clients. Which of the following clients should the nurse see first?

A nurse on a postpartum unit is caring for a client. Exhibits Complete the following sentence by using the lists of options. The client is most likely experiencing by the client's dropdown as evidenced by the client’s dropdown.

A nurse is caring for a newborn who is experiencing neonatal abstinence syndrome. Which of the following actions should the nurse take?

A nurse is assisting with the initiation of epidural analgesia for a client who is in the second stage of labor. Which of the following actions should the nurse take?

A nurse in a medical-surgical unit is caring for a client. Exhibits Select the 3 statements that the nurse should include while providing teaching to the client about self-care.

A home health nurse is planning care for a client who has Alzheimer's disease. Which of the following actions should the nurse include in the plan of care?

A nurse is caring for a newly-admitted client.

Exhibits
The nurse is developing a plan of care with a cardiac rehabilitation team. Which of the following topics should the nurse recommend the team plan to address with the client? Select all that apply.