A nurse is preparing a client who is scheduled for an echocardiogram the following day. Which of the following instructions should the nurse include about the test?

It requires lying quietly on one side."

It might cause slight discomfort in the chest area."

"It is best to have no food or beverages the day of the test."

"It takes about 5 or 10 minutes."

Answer and Explanation

The Correct Answer is A

A. "It requires lying quietly on one side": This is the correct answer. During an echocardiogram, the client is typically asked to lie on their left side to obtain clear images of the heart. The test is non-invasive and involves using ultrasound waves to create images of the heart's structures.

B. "It might cause slight discomfort in the chest area": Echocardiograms are generally painless and do not cause discomfort. They are a non-invasive imaging technique that uses sound waves.

C. "It is best to have no food or beverages the day of the test": While the client may be instructed to avoid eating or drinking shortly before the test, this statement is too restrictive. The specific fasting instructions will be provided by the healthcare provider or facility.

D. "It takes about 5 or 10 minutes": The duration of an echocardiogram can vary, but it typically takes longer than 5 or 10 minutes. The test duration depends on various factors, including the complexity of the study and the information needed.

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Correct Answer is C

Explanation

A. Hypertension: Anemia is more likely to be associated with hypotension rather than hypertension. The body often responds to anemia by increasing heart rate and cardiac output to compensate for reduced oxygen-carrying capacity.

B. Diarrhea: Anemia itself is not directly associated with diarrhea. Excess blood loss can lead to anemia, but diarrhea is not a typical manifestation of anemia.

C. Fatigue: This is the correct answer. Fatigue is a common symptom of anemia, as reduced oxygen delivery to tissues can lead to feelings of weakness, tiredness, and lack of energy.

D. Bradycardia: Anemia is more likely to be associated with compensatory tachycardia (increased heart rate) rather than bradycardia. The body attempts to maintain oxygen delivery to tissues by increasing cardiac output.

A. Maintaining a semi-Fowler's position as often as possible B. Encouraging the client to drink 2 to 3 L of water daily C. Helping the client select a low-salt diet D. Administering oxygen via nasal cannula at 2 L/min

Correct Answer is B

Explanation

A. Maintaining a semi-Fowler's position as often as possible: While maintaining an elevated position can assist with breathing, it may not directly address the issue of tenacious bronchial secretions. Adequate hydration and other measures are often more effective.

B. Encouraging the client to drink 2 to 3 L of water daily: This is the correct answer. Adequate hydration helps to thin mucus, making it easier to clear from the airways. Drinking 2 to 3 liters of water daily is a helpful strategy to promote hydration and reduce the viscosity of bronchial secretions.

C. Helping the client select a low-salt diet: While a low-salt diet may have cardiovascular benefits, it is not a primary intervention for addressing tenacious bronchial secretions. Hydration and airway clearance techniques are more directly relevant.

D. Administering oxygen via nasal cannula at 2 L/min: While oxygen therapy may be necessary in COPD, it is not the primary intervention for managing tenacious bronchial secretions. Hydration and other measures aimed at thinning mucus are more appropriate.

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A nurse is preparing a client who is scheduled for an echocardiogram the following day. Which of the following instructions should the nurse include about the test?

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