The nurse is reinforcing teaching to the patient about the cause of pain from coronary artery disease. The nurse would evaluate the patient as understanding the education if the patient stated which of the following causes the pain from coronary artery disease?

Interrupted electrical activity to areas of the heart

Lack of sufficient oxygen to the myocardium

Increased cardiac workload

Lack of nutrients into the heart

Answer and Explanation

The Correct Answer is B

Choice A reason: Interrupted electrical activity to areas of the heartWhen it comes to the pain associated with coronary artery disease (CAD), interrupted electrical activity is not the primary cause. While abnormal electrical activity can lead to arrhythmias, it is not the primary source of pain in CAD. The pain in CAD is primarily related to inadequate blood flow and oxygen supply to the heart muscle.

Choice B reason: Lack of sufficient oxygen to the myocardiumThis is the correct answer. Coronary artery disease results in the narrowing or blockage of coronary arteries, which supply oxygen-rich blood to the heart muscle. When these arteries become narrowed due to plaque buildup (atherosclerosis), the heart muscle does not receive enough oxygen. This insufficient oxygen supply leads to chest pain (angina) and discomfort.

Choice C reason: Increased cardiac workloadWhile increased cardiac workload can contribute to heart-related symptoms, it is not the primary cause of pain in coronary artery disease. Increased workload may occur during physical exertion or stress, but the underlying issue in CAD is the reduced blood flow due to narrowed or blocked arteries.

Choice D reason: Lack of nutrients into the heartWhile nutrients are essential for overall heart health, the primary concern in coronary artery disease is the lack of oxygen supply. The pain associated with CAD is primarily related to inadequate oxygen delivery to the heart muscle, not specifically a lack of nutrients.

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Correct Answer is A

Explanation

Choice A reason: Difficulty concentrating is a common symptom of depression, particularly in individuals with a spinal cord injury, where the change in lifestyle and physical abilities can lead to cognitive overload and reduced focus.

Choice B reason: While paranoia can be associated with other mental health conditions, it is not a typical sign of depression. Depression is more commonly associated with symptoms like hopelessness and low self-esteem.

Choice C reason: Feelings of grandeur are not typically associated with depression. This symptom is more indicative of mania or other psychiatric conditions such as bipolar disorder.

Choice D reason: Flight of ideas is a symptom often seen in manic episodes and is characterized by rapidly changing or disjointed thoughts. It is not a common symptom of depression.

A. Encouraging adequate nutrition. B. Assuring the patient everything will be fine. C. Maintaining a safe milieu. D. Using active listening skills.

Correct Answer is B

Explanation

Choice A reason: Encouraging adequate nutrition is important as patients with depression may have decreased appetite.

Choice B reason: Assuring the patient that everything will be fine may minimize their feelings and is not a therapeutic communication technique.

Choice C reason: Maintaining a safe milieu is essential for all patients, especially those with depression who may be at risk for self-harm.

Choice D reason: Using active listening skills is a key component of therapeutic communication and is essential in caring for patients with depression.

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The nurse is reinforcing teaching to the patient about the cause of pain from coronary artery disease. The nurse would evaluate the patient as understanding the education if the patient stated which of the following causes the pain from coronary artery disease?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a spinal cord injury and is at risk for depression. Which of the following findings should the nurse identify as an indication that the client is developing depression?

Correct Answer is A

Explanation

The nursing interventions for a patient with major depression would include all the following except:

Correct Answer is B

Explanation

The nurse is reinforcing teaching to the patient about the cause of pain from coronary artery disease. The nurse would evaluate the patient as understanding the education if the patient stated which of the following causes the pain from coronary artery disease?

A nurse is contributing to the plan of care for a client who is newly admitted with severe depression. Which of the following actions should be added to the plan of care?

A nurse is assisting in the care of a client who has acute onset pulmonary edema and is experiencing dyspnea with low oxygen saturation rates. The nurse should recognize the client is at risk for which of the following acid-base imbalances?

A nurse is reviewing the plan of care for a client who has depression. Which of the following actions should the nurse plan to take?

The licensed practical nurse is assisting with collecting data on a female patient. Which of the following findings should be reported to the registered nurse as possible atypical symptoms of a myocardial infarction in the absence of chest pain? Select all that apply.

The healthcare provider (HCP) informs the licensed practical nurse/licensed vocational nurse (LPN/LVN) that the patient has cor pulmonale. The patient asks what this means. Which explanation by the nurse is most appropriate?

A nurse is collecting data from a newly-admitted client who has bipolar disorder and is displaying manic behavior. Which of the following findings should the nurse expect? (Select all that apply.)

The nurse would evaluate a female patient, age 68, as understanding teaching on the purpose of coronary artery bypass graft surgery if she made which of the following statements?