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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E"]
Explanation
Rationale:
A. Orthopnea (difficulty breathing when lying flat) is more characteristic of heart failure, not the acute presentation of MI.
B. Chest pain is the hallmark symptom of an acute MI, often described as pressure, squeezing, or heaviness in the chest.
C. The sympathetic nervous system often responds to myocardial ischemia with increased heart rate, making tachycardia a common finding.
D. Headache is not a typical manifestation of MI and is not used in diagnostic assessment for acute coronary events.
E. Excessive sweating is a common autonomic response during an acute MI due to sympathetic activation and pain.
Correct Answer is D
Explanation
Rationale:
A. Oxygen is administered during the initial acute phase if the client is hypoxic, to improve myocardial oxygenation, but it does not directly manage pain or anxiety once stabilized.
B. Nitroglycerin is used to relieve chest pain and reduce myocardial workload, primarily in the acute phase of MI. Its use after stabilization is for ongoing ischemia, not specifically for anxiety or persistent pain.
C. Aspirin is an antiplatelet therapy that prevents further clot formation and is continued long-term for MI management, but it does not address acute pain or anxiety.
D. Morphine is indicated after the initial acute phase to manage persistent chest pain and anxiety. It works by reducing myocardial oxygen demand through vasodilation and providing analgesia and sedation, making it appropriate for pain and anxiety management post-acute MI.
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