A patient has pain due to acute pericarditis. Which action would the nurse take?.
Teach the patient to take deep, slow breaths to control the pain.
Place the patient in Fowler's position, leaning forward on the table.
Force fluids to 3000 mL/day to decrease the inflammation.
Provide a fresh ice bag every hour for the patient to place on the chest.
The Correct Answer is B
Choice A rationale:
Teaching the patient to take deep, slow breaths might not be effective in controlling the pain due to acute pericarditis.
Choice B rationale:
Placing the patient in Fowler’s position, leaning forward on the table, can help relieve the pain associated with acute pericarditis.
Choice C rationale:
Forcing fluids to 3000 mL/day to decrease inflammation is not a recommended action for managing pain due to acute pericarditis.
Choice D rationale:
Providing a fresh ice bag every hour for the patient to place on the chest is not a recommended action for managing pain due to acute pericarditis.
So, the correct answer is B, after analyzing all choices.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Tylenol, or acetaminophen, is a common over-the-counter medication used to reduce fevers and manage mild aches and pains. It does not directly affect blood pressure.
Choice B rationale:
While stress can cause temporary spikes in blood pressure, it’s not clear whether stress can cause long-term increases in blood pressure34.
Choice C rationale:
Cocaine or crack use can cause a significant and dangerous increase in blood pressure. Given the patient’s history of drug abuse and the current high blood pressure reading, this is a critical question to ask.
Choice D rationale:
Eating salty foods can contribute to high blood pressure over time, but it’s unlikely to cause an immediate severe increase in blood pressure.
So, the correct answer is Choice C, after analyzing all choices. .
Correct Answer is B
Explanation
Choice A rationale:
A weight increase from 120 pounds to 122 pounds over 3 days is within the normal fluctuation range.
Choice B rationale:
A serum potassium level of 3.0 mEq/L after 1 week of therapy is concerning because it’s below the normal range (3.5-5.0 mEq/L)171819. This could indicate hypokalemia, which can cause serious complications if left untreated.
Choice C rationale:
A palpable liver edge 2 cm below the ribs on the right side could suggest an abnormality such as an enlarged liver.
Choice D rationale:
The presence of 1+ to 2+ edema in the feet and ankles could indicate conditions like heart failure or venous insufficiency.
So, the correct answer is Choice B, after analyzing all choices.
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