A patient who has recently had an acute myocardial infarction (AMI) ambulates in the hospital hallway. Which data would indicate to the nurse that the patient should stop and rest?.

Heart rate increases from 66 to 98 beats/min.

O2 saturation drops from 99% to 95%.

Respiratory rate goes from 14 to 20 breaths/min.

Blood pressure (BP) changes from 118/60 to 126/68 mm Hg.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

An increase in heart rate from 66 to 98 beats/min indicates that the heart is working harder, which could be a sign of stress or exertion. This is a significant increase and could indicate that the patient needs to rest.

Choice B rationale:

While a drop in O2 saturation from 99% to 95% is noticeable, it is still within the normal range (95-100%). Therefore, it would not necessarily indicate a need for the patient to rest.

Choice C rationale:

A respiratory rate increase from 14 to 20 breaths/min is within the normal range (12-20 breaths/min) and would not necessarily indicate a need for the patient to rest.

Choice D rationale:

A blood pressure change from 118/60 to 126/68 mm Hg is within the normal range and would not necessarily indicate a need for the patient to rest.

So, the correct answer is Choice A, after analyzing all choices.

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Correct Answer is A

Explanation

Choice A rationale:

Digoxin is used to treat heart failure and atrial fibrillation, but it doesn’t directly address the fluid accumulation in the lungs caused by pulmonary edema.

Choice B rationale:

Captopril, an ACE inhibitor, can help reduce fluid buildup and is typically beneficial for patients with pulmonary edema.

Choice C rationale:

Furosemide is a diuretic that helps remove excess fluid from the body, making it a key medication for treating pulmonary edema.

Choice D rationale:

Carvedilol, a beta blocker, can be used to treat heart failure and hypertension, conditions that can contribute to pulmonary edema.

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

A. "Do not stand still for prolonged periods of time.”. B. "Even if you feel fine, do not stop taking the drugs.”. C. "Eat foods with low potassium.”. D. "Upon waking up in the morning, get out of bed slowly.”. .

Correct Answer is C

Explanation

Choice A rationale:

This is correct. Standing still for prolonged periods can cause blood to pool in the legs, increasing blood pressure.

Choice B rationale:

This is also correct. Stopping the medication abruptly can cause a rebound increase in blood pressure.

Choice C rationale:

This is incorrect. Furosemide is a diuretic that can cause the body to lose potassium, so it’s important to consume potassium-rich foods.

Choice D rationale:

This is correct. Furosemide can cause orthostatic hypotension, a form of low blood pressure that happens when you stand up from sitting or lying down.

So, the correct answer is Choice C, after analyzing all choices.

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A patient who has recently had an acute myocardial infarction (AMI) ambulates in the hospital hallway. Which data would indicate to the nurse that the patient should stop and rest?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient who has just been admitted with pulmonary edema is scheduled to receive the following medications. Which medication would the nurse question before giving?.

Correct Answer is A

Explanation

A nurse is supervising a new graduate who is providing discharge teaching to a patient diagnosed with hypertension. While teaching a patient about their newly prescribed diuretic (furosemide), which of the following statements made by the new graduate requires correction by the supervising nurse?.

Correct Answer is C

Explanation

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