You are providing care to a patient with pericarditis.

Which of the following is NOT a proper nursing intervention for this patient?

Administer Ibuprofen as scheduled.

Monitor the patient for complications of cardiac tamponade.

Place the patient in a supine position to relieve pain.

Monitor the patient for pulsus paradoxus and muffled heart sounds.

Answer and Explanation

The Correct Answer is C

Choice A rationale
Administering Ibuprofen as scheduled is a proper nursing intervention for a patient with pericarditis. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can help reduce inflammation and relieve pain.
Choice B rationale
Monitoring the patient for complications of cardiac tamponade is a proper nursing intervention for a patient with pericarditis. Cardiac tamponade is a serious condition that can occur as a complication of pericarditis.
Choice C rationale
Placing the patient in a supine position to relieve pain is not a proper nursing intervention for a patient with pericarditis. This position could actually increase the patient’s discomfort.
Instead, the patient should be positioned upright and leaning forward to help relieve pain.
Choice D rationale
Monitoring the patient for pulsus paradoxus and muffled heart sounds is a proper nursing intervention for a patient with pericarditis. These are potential signs of worsening pericarditis or complications such as cardiac tamponade.

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Correct Answer is D

Explanation

Choice A rationale
Exercise electrocardiography, also known as a stress test, is not typically the first-line emergent procedure for a patient with an acute myocardial infarction (AMI). This test is often used to diagnose coronary artery disease, but it is not typically used to treat an AMI5.
Choice B rationale
A computed tomography (CT) scan of the chest with contrast could be used to visualize the heart and surrounding structures, but it is not typically the first-line emergent procedure for a patient with an AMI5.
Choice C rationale
An echocardiogram could be used to visualize the heart’s structure and function, but it is not typically the first-line emergent procedure for a patient with an AMI5.
Choice D rationale
Percutaneous coronary intervention (PCI) is the correct answer. This procedure is often used as an emergent treatment for an AMI. It involves using a catheter to place a small structure called a stent to open up blood vessels in the heart that have been narrowed by plaque buildup.

A. A 65-year-old male recovering from right lobectomy for treatment of lung cancer. B. A 78-year-old female with diabetes mellitus who is recovering from colon surgery. C. A 35-year-old female who is hospitalized with renal insufficiency and has a Foley catheter and central line in place. D. A 55-year-old male who is a recent kidney transplant recipient.

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

Explanation

Choice A rationale
A 65-year-old male recovering from right lobectomy for treatment of lung cancer is at risk for developing sepsis. Post-surgical patients, especially those with cancer, are at increased risk due to potential infection at the surgical site and a weakened immune system from the cancer and/or its treatment.
Choice B rationale
A 78-year-old female with diabetes mellitus who is recovering from colon surgery is at risk for developing sepsis. Diabetes can impair the immune system, making it harder for the body to fight off infections. Additionally, any surgical procedure carries a risk of infection.
Choice C rationale
A 35-year-old female who is hospitalized with renal insufficiency and has a Foley catheter and central line in place is at risk for developing sepsis. Hospitalized patients, particularly those with invasive devices like catheters and central lines, are at increased risk due to potential introduction of bacteria into the body.
Choice D rationale
A 55-year-old male who is a recent kidney transplant recipient is at risk for developing sepsis. Transplant recipients are often on immunosuppressive therapy to prevent organ rejection, which can leave them more susceptible to infections.

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You are providing care to a patient with pericarditis. Which of the following is NOT a proper nursing intervention for this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with an acute myocardial infarction (AMI). What emergent procedure does the nurse anticipate the physician will order?

Correct Answer is D

Explanation

You’re providing care to four patients. Select all the patients who are at risk for developing sepsis:

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

Explanation

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A patient newly admitted with pulmonary edema is due to receive several medications. Which medication should the nurse efore administration?

You are providing care to a patient with pericarditis.

Which of the following is NOT a proper nursing intervention for this patient?