In planning care for the patient with acute myocardial infarction (AMI), the nurse identifies the highest priority goal of care as which of the following?

Stable ECG rhythm

Ability to verbalize causes and eﬀects of CHD/CAD

Adequate relief of pain

Compliance with prescribed bedrest

Answer and Explanation

The Correct Answer is C

Choice A reason: While a stable ECG rhythm is important, it is not the immediate concern post-AMI.

Choice B reason: The ability to verbalize causes and eﬀects of CHD/CAD is an educational goal, not an immediate care priority.

Choice C reason: Adequate relief of pain is a priority to reduce stress on the heart and improve patient comfort.

Choice D reason: Compliance with prescribed bedrest is important but secondary to pain relief.

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Correct Answer is D

Explanation

Choice A reason: Cleaning with an alcohol-based solution is not recommended as it can be irritating and does not prevent infection.
Choice B reason: Routine irrigation of the catheter is not recommended as it can introduce infection.
Choice C reason: Replacing the catheter routinely every three days is not recommended and can increase the risk of infection.
Choice D reason: Ensuring the catheter tubing is free of kinks, twisting, and dependent loops is important to maintain urine ﬂow and prevent infection.

A. Use of maintenance chemotherapy to maintain remission B. Need for follow-up appointments to screen for malignancy C. Potential impact of chemotherapy on fertility D. Application of soothing lotions to treat residual pruritus

Correct Answer is B

Explanation

Choice A reason : Maintenance chemotherapy is not typically used to maintain remission in Hodgkin's lymphoma after successful treatment.

Choice B reason : Follow-up appointments are crucial for monitoring any signs of recurrence or secondary malignancies, as well as managing long-term eﬀects of treatment.

Choice C reason : The potential impact of chemotherapy on fertility is an important topic, especially for younger patients, but may not be as relevant for a 55-year-old woman.

Choice D reason : Addressing symptoms like pruritus, which can persist after treatment, is important for patient comfort and quality of life.

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In planning care for the patient with acute myocardial infarction (AMI), the nurse identifies the highest priority goal of care as which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take to prevent infection?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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