AND ANSWERS GRADED A+ 100% VERIFIED.
A nurse assesses a client who had a myocardial infarction and is hypotensive.
Which additional assessment finding should the nurse expect?
a. Heart rate of 120 beats/min
b. Cool, clammy skin
c. Oxygen saturation of 90%
d. Respiratory rate of 8 breaths/min" - correct answer ANS >>> A
A nurse assesses a client after administering a prescribed beta blocker. Which
assessment should the nurse expect to find?
a. Blood pressure increased from 98/42 mm Hg to 132/60 mm Hg
b. Respiratory rate decreased from 25 breaths/min to 14 breaths/min
c. Oxygen saturation increased from 88% to 96%
,d. Pulse decreased from 100 beats/min to 80 beats/min - correct answer ANS >>>
D
An emergency department nurse triages clients who present with chest
discomfort. Which client should the nurse plan to assess first?
a. A 42-year-old female who describes her pain as a dull ache with numbness in
her fingers
b. A 49-year-old male who reports moderate pain that is worse on inspiration
c. A 53-year-old female who reports substernal pain that radiates to her abdomen
d. A 58-year-old male who describes his pain as intense stabbing that spreads
across his chest
ANS >>> D - correct answer an emergency department nurse triages clients who
present with chest discomfort. Which client should the nurse plan to assess first?
a. A 42-year-old female who describes her pain as a dull ache with numbness in
her fingers
b. A 49-year-old male who reports moderate pain that is worse on inspiration
c. A 53-year-old female who reports substernal pain that radiates to her abdomen
d. A 58-year-old male who describes his pain as intense stabbing that spreads
across his chest
ANS >>> D
17. A nurse prepares a client for coronary artery bypass graft surgery. The client
states, I am afraid I might die. How should the nurse respond?
a. This is a routine surgery and the risk of death is very low.
b. Would you like to speak with a chaplain prior to surgery?
c. Tell me more about your concerns about the surgery.
d. What support systems do you have to assist you?
, ANS >>> C - correct answer 17. A nurse prepares a client for coronary artery bypass
graft surgery. The client states, I am afraid I might die. How should the nurse
respond?
a. This is a routine surgery and the risk of death is very low.
b. Would you like to speak with a chaplain prior to surgery?
c. Tell me more about your concerns about the surgery.
d. What support systems do you have to assist you?
ANS >>> C
A nurse teaches a client with diabetes mellitus and a body mass index of 42 who is
at high risk for coronary artery disease. Which statement related to nutrition
should the nurse include in this client's teaching?
a. "The best way to lose weight is a high-protein, low-carbohydrate diet."
b. "You should balance weight loss with consuming necessary nutrients."
c. "A nutritionist will provide you with information about your new diet."
d. "If you exercise more frequently, you won't need to change your diet." - correct
answer ANS >>> B
Clients at risk for cardiovascular diseases should follow the American Heart
Association guidelines to combat obesity and improve cardiac health. The nurse
should encourage the client to eat vegetables, fruits, unrefined whole-grain
products, and fat-free dairy products while losing weight. High-protein food items
are often high in fat and calories. Although the nutritionist can assist with client
education, the nurse should include nutrition education and assist the client to
make healthy decisions. Exercising and eating nutrient-rich foods are both
important components in reducing cardiovascular risk.
9. A nurse assesses a client who is recovering after a left-sided cardiac
catheterization. Which assessment finding requires immediate intervention?