A nurse is teaching a client about the management of pericarditis. Which off the following client statements indicates to the nurse an understanding of the teaching?

"I will need to increase my fluids to 3 liters per day?

I should avoid driving due to my implanted defibrillator

"I should refrain from sexual activity while taking NSAIDS

"I will contact my health care provider if i develop chest pain.

Answer and Explanation

The Correct Answer is D

Rationale:
A. While adequate hydration is generally beneficial, pericarditis management does not typically require aggressive fluid intake, and overhydration could exacerbate complications, especially if there is concurrent heart failure.

B. This statement is not relevant to pericarditis, as having pericarditis does not necessitate avoidance of driving unless there are specific complications or comorbidities.

C. NSAIDs are used to reduce inflammation and pain in pericarditis; sexual activity is not contraindicated while on these medications unless the client is experiencing symptoms that limit activity.

D. This indicates understanding because chest pain can signify worsening pericarditis or complications such as cardiac tamponade or myocardial involvement, and prompt evaluation is necessary.

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Correct Answer is ["B","D"]

Explanation

Rationale:

A. LDL cholesterol levels are used to assess a patient’s long-term risk for atherosclerosis and cardiovascular disease, but they do not rise acutely during myocardial infarction and therefore are not useful for diagnosing an MI in the emergency setting.

B. Myoglobin is a small heme protein released rapidly from damaged cardiac and skeletal muscle. It can appear in the blood within 1–4 hours after myocardial injury, making it useful for early detection of myocardial infarction. However, it is not specific to cardiac muscle, so elevations could also occur with skeletal muscle injury. Myoglobin is often used in conjunction with other cardiac biomarkers.

C. Blood urea nitrogen reflects renal function and may increase in kidney disease or dehydration, but it does not indicate myocardial injury and is not part of the standard diagnostic workup for acute MI.

D. Troponin I and T are structural proteins of cardiac muscle, and their levels rise within 3–6 hours after myocardial injury and remain elevated for up to 10–14 days. They are highly sensitive and specific for cardiac injury, making troponin the gold standard for confirming myocardial infarction.

E. Creatinine measures kidney function and may be monitored in patients receiving contrast dye or nephrotoxic drugs, but it does not aid in diagnosing an acute MI.

A. Radiofrequency catheter ablation B. CPR C. Elective cardioversion D. Defibrillation

Correct Answer is D

Explanation

Rationale:
A. This is a long-term treatment for recurrent VT or other arrhythmias. It is not an immediate intervention for acute, unstable VT.

B. Cardiopulmonary resuscitation is performed only if the client is pulseless and unresponsive. While CPR may be necessary in cardiac arrest, it is not the first-line intervention for VT with a pulse.

C. Synchronized cardioversion is used for hemodynamically stable VT with a pulse, but the term “elective” implies a planned procedure, not emergency management.

D. For pulseless VT or VT causing severe instability (e.g., hypotension, altered mental status), defibrillation is the immediate lifesaving intervention. It delivers an unsynchronized shock to restore normal cardiac rhythm.

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A nurse is teaching a client about the management of pericarditis. Which off the following client statements indicates to the nurse an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an emergency department is caring for a client who reports substernal chest pain and dyspnea. The client is vomiting and is diaphoretic. Which of the following laboratory tests are used to diagnose a myocardial infarction? (Select all that apply)

Correct Answer is ["B","D"]

Explanation

A nurse is caring for a client who reports heart palpitations. An ECG confirms the client is experiencing ventricular tachycardia (VT). The nurse should anticipate the need for taking which of the following actions?

Correct Answer is D

Explanation

A nurse is interpreting the ECG strip of a client who has bradycardia. Which of the following cardiac components should the nurse identify as the role of the P wave?

A home health nurse is making a home visit to a client who takes a daily diuretic for heart failure. Which of the following manifestations should the nurse identify as indicating the client is hypokalemic?

A nurse is reviewing the laboratory values of a client who had a myocardial infarction 3 hr ago. The nurse should expect which of the following laboratory values to be elevated?

A 65-year-old patient with congestive heart failure has been on diuretic therapy for the past two weeks. During a follow-up appointment, which of the following findings would indicate that the diuretic therapy is effective?

A nurse is teaching the partner of a client who had an acute myocardial infarction (MI) about the reason blood was drawn from the client. Which of the following statements should the nurse make regarding cardiac enzymes studies?

A 55-year-old patient with a history of hypertension is undergoing a routine ECG as part of their annual check-up. The ECG reveals a first-degree AV block. Which of the following statements about first-degree AV block is correct?

A 22-year-old patient presents with fatigue, chest discomfort, and palpitations. Vital signs show HR 112 bpm. BP 98/5, and low-grade fever. The nurse notes irregular heart sounds and severe pedal edema. Which condition should the nurse suspect? (Select All that Apply.)

A nurse is reviewing laboratory results for a client who has pericarditis. Which of the following blood test results should the nurse anticipate? (Select All that Apply.)