Your patient is ordered an EKG upon admission to the hospital. She is very scared and states she has never had one of these diagnostic tests before. Which answer is most appropriate by the nurse regarding EKG.

An E KG is a painless diagnostic study. We will put stickers on your body and atach wires to assess your heart rhythm.

This will only take a minute there is nothing to fear, we do them all the time.

I've performed many ECGs over the years and have become an expert in doing them.

We have many children that come to the ER and receive an ECG. they say they are painless.

Answer and Explanation

The Correct Answer is A

This response provides the patient with accurate and reassuring information about the EKG procedure. It explains that the test is painless and describes what will happen during the test. The other responses do not provide as much information or reassurance to the patient.

Nursing Test Bank

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Correct Answer is C

Explanation

c. Sip the water he is allowed to have slowly to make it last throughout the day.

Option a is not recommended as hard candies may contain sugar and artificial sweeteners, which can be harmful to the patient's health.

Option b is not recommended because caﬀeinated tea has diuretic properties that can increase urine output, leading to further dehydration.

Option d is not recommended as Gatorade is a sports drink that contains high amounts of sugar and electrolytes, which can lead to ﬂuid overload and imbalances.

Sipping the water slowly can help the patient moisten his mouth without going over his ﬂuid restriction. This approach can also help him pace his ﬂuid intake throughout the day, which can be beneficial for maintaining proper hydration levels and managing ﬂuid overload.

A. Decrease ﬂuid intake. B. Take Tylenol for the secretions. C. Range -of-motion exercises as tolerated D. Increase ﬂuid intake.

Correct Answer is D

Explanation

Explanation: In clients with COPD, the secretions tend to be thick and sticky, which makes it difficult to cough up and clear the airway. To promote respiratory hygiene in this situation, the nurse should recommend increasing ﬂuid intake. Adequate hydration helps to thin the secretions, making them easier to expectorate. The client should aim to drink at least 8-10 glasses of water or other ﬂuids per day unless there is a medical reason not to do so.

Decreasing ﬂuid intake (option a) would make the secretions even thicker and more difficult to clear. Taking Tylenol for secretions (option b) is not a recommended intervention as Tylenol is not indicated for thinning of secretions. Range-of-motion exercises (option c) are important to prevent complications such as pneumonia, but they are not directly related to promoting respiratory hygiene in this situation.

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Your patient is ordered an EKG upon admission to the hospital. She is very scared and states she has never had one of these diagnostic tests before. Which answer is most appropriate by the nurse regarding EKG.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient who is ordered a ﬂuid restriction of 1000ml ﬂuid restriction. He is on the list for a kidney transplant due to kidney failure. His mouth feels dry during the day. and he wants to know how he can moisten his mouth without going over his restriction:

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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