Exhibits
Complete the following sentence by using the lists of options.
The nurse should first address the client
The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}
The nurse should first address the client pain level followed by the client's ECG results
Rationale
Pain level: Addressing the client's pain level is crucial because it directly affects their comfort and can be indicative of ongoing myocardial ischemia or infarction. The client initially reported chest pain as 7/10, which is significant. Although it has decreased to 5/10 after nitroglycerin, ongoing assessment of pain is essential to ensure it does not worsen or change in nature.
ECG results: The 12-lead electrocardiogram (ECG) shows tachycardia with ST segment elevation and T wave changes. These findings indicate acute myocardial ischemia or infarction, which is a critical concern. The ECG results guide further diagnosis and treatment decisions, such as determining the need for immediate reperfusion therapy (like thrombolytics or angioplasty).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A Structured activities are important for clients with Alzheimer's disease because they can help provide a sense of routine, purpose, and control. Engaging the client in meaningful activities that are simple and appropriate for their cognitive level can help prevent boredom, restlessness, and agitation.
B. Keeping the client's room dark during the day is not recommended as it can disrupt the client's sleep- wake cycle. Instead, maintaining a regular sleep schedule, promoting natural light exposure during the day, and ensuring a quiet, calm environment at night are more effective strategies.
C. While displaying a calendar can be helpful for some individuals with Alzheimer's, it doesn't directly address the need for structured activities or engagement throughout the day.
D. Providing excessive stimulation can overwhelm individuals with Alzheimer's disease. It's important to create a calm, predictable environment with familiar objects and routines to minimize confusion and agitation.
Correct Answer is C
Explanation
C. Atropine is an anticholinergic medication that increases heart rate by blocking vagal tone to the heart. It is used to treat symptomatic bradycardia, including sinus bradycardia that causes hemodynamic instability
A Lidocaine is primarily used for the treatment of ventricular arrhythmias, particularly in the setting of acute myocardial infarction or during cardiac arrest. Sinus bradycardia with S-T segment elevation suggests ischemia or injury to the heart muscle (myocardium) rather than ventricular arrhythmias.
B. Digoxin is a medication used to increase myocardial contractility and reduce heart rate in certain heart conditions such as atrial fibrillation or heart failure. It is not typically indicated for acute management of sinus bradycardia
D. Sotalol is a beta-blocker with class III antiarrhythmic properties. It is used primarily for the management of atrial and ventricular arrhythmias, not for acute coronary syndrome or sinus bradycardia with myocardial ischemia.
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