Exhibits

Complete the following sentence by using the lists of options.

The nurse should first address the client
dropdown
followed by the client's
dropdown

Answer and Explanation

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).

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Correct Answer is ["A","B","C","D"]

Explanation

Client reports tightness in chest that radiates to left arm: Chest tightness that radiates to the left arm is a classic symptom of myocardial ischemia or infarction (heart attack). This symptom is concerning because it suggests potential heart muscle damage or decreased blood flow to the heart.

States pain as 7 on a scale of 0 to 10: The client rates their chest pain as 7 out of 10. This indicates significant discomfort and suggests that the chest tightness is causing substantial pain. Pain severity is an important indicator in assessing the severity of the cardiac event.

Started to feel nauseous after breakfast: Nausea can be a symptom associated with myocardial ischemia or infarction, particularly when it occurs after physical exertion or a meal. It can be caused by decreased blood flow to the gastrointestinal tract due to compromised cardiac function.

Client is diaphoretic and short of breath: Diaphoresis (excessive sweating) and shortness of breath are additional symptoms that commonly accompany acute myocardial infarction. Diaphoresis occurs due to sympathetic nervous system activation, while shortness of breath can result from decreased cardiac output or pulmonary congestion.

Heart rate irregular and tachycardic: An irregular and tachycardic (rapid) heart rate is abnormal and suggests cardiac dysrhythmia, which can occur in response to myocardial ischemia or infarction. It reflects the heart's attempt to compensate for reduced oxygen delivery to the body.

A. "Provide the client with structured activities to fill their time." B. "Keep the client's room dark at night to promote sleep." C. "Display a monthly calendar in the client's room." D. "Provide plenty of stimulation in the client's room." E. None F. None

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.

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Exhibits Complete the following sentence by using the lists of options. The nurse should first address the client dropdown followed by the client's dropdown

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","B","C","D"]

Explanation

A nurse is providing teaching for the family of a client who has Alzheimer's disease. Which of the following statements should the nurse include?

Correct Answer is A

Explanation

A nurse is planning the discharge of a client who had an ischemic stroke. The nurse should ensure that the client is discharged with which of the following types of pharmacologic therapy?

A nurse is caring for a client following a cardiac catheterization who has hives and urticaria following administration of IV contrast dye. Which of the following medications should the nurse plan to administer?

A nurse is planning care for a client who is postoperative following insertion of an arteriovenous graft in their left forearm. Which of the following actions should the nurse include in the plan of care?

A nurse is caring for a client who has a chest tube in the pleural space. The nurse notices continuous bubbling in the water seal chamber of the client's drainage system. Which of the following actions should the nurse take?

A nurse is providing discharge teaching for a client who is receiving treatment for genital herpes. Which of the following statements by the client indicates effectiveness of the teaching?

A nurse is caring for a client who has a sealed radiation implant. Which of the following actions should the nurse take?

A nurse manager is providing an in-service to a group of newly licensed nurses about the use of personal protective equipment. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching?

Exhibits

Complete the following sentence by using the lists of options.

The nurse should first address the client
dropdown
followed by the client's
dropdown