The nurse is providing teaching to a patient recovering from a myocardial infarction (MI). How should resumption of sexual activity be discussed?

Delegated to the health care provider

Discussed along with other physical activities

Avoided because it is embarrassing to the patient

Accomplished by providing the patient with written material

Answer and Explanation

The Correct Answer is B

Resumption of sexual activity after a myocardial infarction (MI) is an important topic to address as part of the overall recovery and rehabilitation process. It should be discussed along with other physical activities during the patient's recovery. The nurse should initiate the discussion in a supportive and non-judgmental manner, addressing the patient's concerns, fears, and questions about sexual activity after an MI.

Sexual activity is a normal part of life, and patients may have concerns about the safety and appropriateness of engaging in sexual activity after a significant cardiac event like an MI. Discussing it along with other physical activities helps normalize the topic and allows the nurse to provide accurate information, address any misconceptions, and offer guidance on when and how to resume sexual activity safely. Patients should be encouraged to have an open dialogue with their healthcare provider about their concerns and any specific questions they may have related to resuming sexual activity.

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Correct Answer is A

Explanation

Atropine is an anticholinergic medication that acts by blocking the effects of the parasympathetic nervous system on the heart, leading to an increase in heart rate (positive chronotropic effect) and conduction velocity (positive dromotropic effect). In patients with symptomatic type 1 second degree atrioventricular (AV) block (also known as Mobitz type 1 or Wenckebach), the electrical impulses between the atria and ventricles are delayed or blocked intermittently, resulting in a progressive lengthening of the PR interval until a ventricular beat is dropped.

When atropine is administered to a patient with symptomatic type 1 AV block, it can counteract the increased vagal tone that contributes to the block and help improve the conduction through the AV node. As a result, the heart rate is expected to increase, which is a positive response to the medication.

The other options listed (B) Decrease in premature ventricular contractions, (C) Increase in strength of peripheral pulses, and (D) Decrease in premature atrial contractions, are not directly related to the effect of atropine on type 1 AV block and are not typical findings associated with atropine administration in this context. The main goal of administering atropine in this situation is to increase the heart rate and improve the AV conduction to alleviate symptoms associated with the AV block.

A. WBC Count B. Platelet Count C. Electrocardiogram (ECG) Rhythm D. Serum glucose level E. Vital signs

Correct Answer is ["C","E"]

Explanation

Based on the client's condition, the nurse should monitor the following:

C. Electrocardiogram (ECG) Rhythm: The client is experiencing chest pain with ST elevation, which indicates a possible myocardial infarction (MI). Continuous monitoring of the ECG rhythm is essential to identify any changes or dysrhythmias that may occur during the course of the client's care.

E. Vital signs: The client's tachycardia with ST elevation suggests cardiac involvement. Monitoring vital signs, including heart rate, blood pressure, respiratory rate, and oxygen saturation, is crucial to assess the client's hemodynamic status and detect any signs of deterioration or improvement.

The other options (A. WBC Count, B. Platelet Count, and D. Serum glucose level) are not directly related to the client's acute chest pain and the possible MI. While these tests may be ordered for other reasons or as part of the overall assessment, they are not the immediate priorities in this situation. Monitoring the ECG rhythm and vital signs are more relevant to the client's acute cardiac condition.

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The nurse is providing teaching to a patient recovering from a myocardial infarction (MI). How should resumption of sexual activity be discussed?

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Naxlex Comprehensive Predictor Exams

After the nurse gives IV atropine to a patient with symptomatic type 1. second-degree atrioventricular (AV) block, which finding indicates that the drug has been effective?

Correct Answer is A

Explanation

Correct Answer is ["C","E"]

Explanation

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