Which of the following clinical manifestations would make the nurse suspect the client is experiencing a myocardial infarction (MI)?

Radiating pain to the left arm.

Shortness of breath.

Headache.

Nausea and vomiting.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Radiating pain to the left arm is a classic symptom of a myocardial infarction (MI) due to referred pain from the heart.

Choice B rationale

Shortness of breath can also be associated with MI but is not as specific as radiating pain to the left arm.

Choice C rationale

Headache is not a typical symptom of an MI. It is more commonly associated with other conditions.

Choice D rationale

Nausea and vomiting can occur with an MI but are not as specific as radiating pain to the left arm.

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

Explanation

Choice A rationale

Lying down after meals can increase the risk of acid reflux in individuals with a hiatal hernia. Patients are often advised to remain upright after eating to minimize symptoms.

Choice B rationale

Elevating the head of the bed helps prevent gastric contents from refluxing into the esophagus, reducing symptoms of hiatal hernia and promoting better sleep.

Choice C rationale

Reducing caffeine and spicy foods can help manage symptoms, as these substances can irritate the stomach lining and exacerbate reflux in hiatal hernia patients.

Choice D rationale

Maintaining a healthy weight is important because excess weight can increase abdominal pressure and contribute to the worsening of hiatal hernia symptoms.

Choice E rationale

Drinking less fluid is not typically a recommendation for hiatal hernia. Adequate hydration is important for overall health, and reducing fluid intake may not have a significant impact on symptoms.

A. Irrigate the catheter. B. Adjust the rate of the bladder irrigant. C. Notify the provider. D. Check the tubing for kinks.

Correct Answer is D

Explanation

Choice A rationale

Irrigating the catheter without checking for kinks first may not address the underlying issue and can potentially cause harm.

Choice B rationale

Adjusting the rate of the bladder irrigant may not resolve the issue if the catheter tubing is kinked.

Choice C rationale

Notifying the provider without first checking for kinks may delay the resolution of the problem.

Choice D rationale

Checking the tubing for kinks is the first action to ensure there is no obstruction preventing the flow of urine. .

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Which of the following clinical manifestations would make the nurse suspect the client is experiencing a myocardial infarction (MI)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has a hiatal hernia about dietary recommendations.Which of the following client statements indicate an understanding of the teaching? (Select all that apply.)

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

Explanation

A nurse is caring for a client who is 5 hours postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour.Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

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The nurse is preparing to administer sodium polystyrene sulfonate (Kayexalate) rectally to a patient with an irregular pulse and weakness of the lower extremities.What laboratory finding does the nurse determine is the reason for this treatment?

Which of the following clinical manifestations would make the nurse suspect the client is experiencing a myocardial infarction (MI)?