The nurse is assessing a patient with myocarditis before giving a scheduled dose of digoxin (Lanoxin). Which finding is most important for the nurse to communicate to the health care provider?.

Irregular pulse.

Leukocytosis.

Generalized myalgia.

Fatigue.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

An irregular pulse could indicate that myocarditis is affecting the heart’s electrical system, leading to an irregular heartbeat or arrhythmia. This could potentially affect the action of digoxin, a medication used to treat heart conditions, and therefore should be communicated to the healthcare provider.

Choice B rationale:

Leukocytosis, or a high white blood cell count, can be a sign of infection or inflammation, including myocarditis. However, it is not as specific as an irregular pulse in indicating a potential issue with the administration of digoxin.

Choice C rationale:

Generalized myalgia, or muscle pain, can be a symptom of myocarditis. However, it is not as directly related to the action of digoxin as an irregular pulse.

Choice D rationale:

Fatigue can be a symptom of myocarditis. However, it is not as directly related to the action of digoxin as an irregular pulse.

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

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Correct Answer is C

Explanation

Choice A rationale:

Nitroglycerin can cause side effects such as headache and dizziness, but nausea is not a common side effect.

Choice B rationale:

Nitroglycerin should be stored in a dark, cool place, not in a well-lit room.

Choice C rationale:

This is the correct answer. If chest pain is not relieved 5 minutes after taking nitroglycerin, it is recommended to call an ambulance.

Choice D rationale:

While nitroglycerin is taken when chest pain occurs, it can also be taken prior to activities that might cause chest pain.

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

A. "Did you take aspirin today?". B. "Do you have any allergies?". C. "Can you rate the pain on a 0 to 10 scale?". D. "What time did your pain begin?". .

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.

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The nurse is assessing a patient with myocarditis before giving a scheduled dose of digoxin (Lanoxin). Which finding is most important for the nurse to communicate to the health care provider?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which patient statement indicates that the nurse's teaching about sublingual nitroglycerin (Nitrostat) has been effective?.

Correct Answer is C

Explanation

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

In preparation for discharge, the nurse teaches a patient with chronic stable angina how to use the prescribed short-acting and long-acting nitrates. Which patient statement indicates that the teaching has been effective?.

The nurse obtains a health history from an older adult with a prosthetic mitral valve who has symptoms of infective endocarditis (IE). Which question by the nurse helps identify a risk factor for IE?.

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A nurse is caring for an adolescent following a cardiac catheterization. Exhibits Which of the following assessment findings should the nurse report to the provider? Select the 4 findings that the nurse should report to the provider.

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