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.

Answer and Explanation

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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Correct Answer is D

Explanation

Choice A rationale:

While aspirin is often given to patients with suspected myocardial infarction, asking if the patient took aspirin does not help determine the timing of the onset of symptoms.

Choice B rationale:

Knowing the patient’s allergies is important for medication safety, but it does not help determine eligibility for thrombolytic therapy.

Choice C rationale:

Rating the pain on a scale helps assess the severity of the pain, but it does not provide information about the timing of the onset of symptoms.

Choice D rationale:

The time of pain onset is crucial in determining eligibility for thrombolytic therapy. Thrombolytic therapy is most effective when given within a certain time frame from the onset of symptoms.

So, the correct answer is D, after analyzing all choices.

A. Patient reports feeling anxious. B. Blood pressure is 90/54 mm Hg. C. Heart monitor shows normal sinus rhythm. D. Patient is restless and agitated.

Correct Answer is B

Explanation

Choice A rationale:

Feeling anxious is not a common side effect of metoprolol.

Choice B rationale:

Metoprolol is a beta-blocker that can lower blood pressure, so a blood pressure of 90/54 mm Hg could indicate a side effect of this medication.

Choice C rationale:

A normal sinus rhythm is expected and does not indicate a side effect of metoprolol.

Choice D rationale:

Restlessness and agitation are not typical side effects of metoprolol.

So, the correct answer is B, after analyzing all choices.

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A patient has pain due to acute pericarditis. Which action would the nurse take?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is admitted to the emergency department and diagnosed as having an ST-segment-elevation myocardial infarction (STEMI). Which question would the nurse ask to determine whether the patient is a candidate for thrombolytic therapy?.

Correct Answer is D

Explanation

Which data indicates to the nurse that the patient with stable angina is experiencing a side effect of metoprolol?.

Correct Answer is B

Explanation

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