A nurse is reinforcing discharge teaching with a client who has stable angina pectoris. Which of the following statements by the client indicates an understanding of what to do when chest pain occurs?

"I will call the provider after taking one dose of nitroglycerin."

"I will hold my breath and bear down."

"I will stop what I am doing and lie down."

"I will take two 325 milligram aspirin tablets at the same time.”

Answer and Explanation

The Correct Answer is C

Choice A: While nitroglycerin is a common medication for angina, calling the provider after just one dose is not the recommended action. Nitroglycerin helps relax coronary arteries and improve blood supply to the heart. However, if chest pain persists, the client should follow additional steps..

Choice B: This describes the Valsalva maneuver, which involves holding the breath and bearing down as though straining to initiate a bowel movement. While this technique can regulate heart rhythms and help the ears to pop, it is not the recommended response to chest pain from angina.

Choice C: Correct: This statement demonstrates an understanding of appropriate action. When experiencing angina, the client should stop any physical activity, sit down, or lie down. Resting helps reduce the heart’s workload and allows blood flow to stabilize.

Choice D: Aspirin can be beneficial during angina episodes. However, the recommended dose is usually 162 to 325 milligrams (one tablet). Taking two tablets at once may not be necessary unless specifically advised by a healthcare provider.

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Correct Answer is A

Explanation

A. Fidelity involves keeping promises made to clients

Fidelity is an ethical principle that pertains to the nurse's duty to be faithful, loyal, and keep promises made to clients. It involves acting in a trustworthy and reliable manner, maintaining commitments, and upholding the client's rights and autonomy.

Option B is incorrect because it refers to autonomy, which is another ethical principle that involves respecting the client's right to make their own health care decisions.

Option C is incorrect because it refers to nonmaleficence, which is the principle of ensuring that we do no harm to the client and avoiding actions that may cause harm or have a negative impact on the client's well-being.

Option D is incorrect because it refers to justice, which involves treating every client with fairness, equality, and respect, but it does not specifically address the concept of fidelity.

A. "I have a difficult time getting my child to eat green vegetables" B. "My child continually asks me the same questions" C. "My child still wets the bed at least two times per week" D. "I have noticed that my child is withdrawn since we switched day care providers

Correct Answer is D

Explanation

The priority is to address any significant changes in the child's behavior, such as withdrawal, as it may indicate emotional or psychological distress. Switching daycare providers can be a significant event for a young child, and it is essential to explore the reasons behind the child's withdrawal and address any potential underlying issues. The nurse should gather more information, assess the child's emotional well-being, and discuss any concerns or observations with the guardian. This will help identify appropriate interventions or support for the child's emotional adjustment.

While the other statements may also warrant attention, the potential emotional impact of the daycare provider change on the child's behavior and well-being takes priority in this case. The nurse should address the other concerns raised by the guardian during the assessment process, but the immediate focus should be on addressing the child's withdrawal and ensuring their emotional well-being.

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A nurse is reinforcing discharge teaching with a client who has stable angina pectoris. Which of the following statements by the client indicates an understanding of what to do when chest pain occurs?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing information about ethical client care with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of fidelity?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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