A 67-year-old patient is admitted to the ICU following a myocardial infarction that has caused damage to the right side of the heart.

What complication is the patient most likely to experience?

Enlargement of the liver

Pulmonary congestion

Cardiac Tamponade

Peripheral edema

Answer and Explanation

The Correct Answer is D

Choice A rationale
Enlargement of the liver is not a common complication following a myocardial infarction that has caused damage to the right side of the heart.
Choice B rationale
Pulmonary congestion is more commonly associated with left-sided heart failure.
Choice C rationale
Cardiac Tamponade is a serious medical condition in which blood or fluids fill the space between the sac that encases the heart and the heart muscle. This can occur as a result of a myocardial infarction, but it is not the most likely complication in this scenario.
Choice D rationale
Peripheral edema is a common complication following a myocardial infarction that has caused damage to the right side of the heart. When the right side of the heart is damaged, it can lead to a backup of blood in the body’s veins, which can cause swelling in the ankles, legs, and abdomen.

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Correct Answer is A

Explanation

Choice A rationale
Hildegard Peplau is recognized as the “mother of psychiatric nursing”67. She made significant contributions to nursing science, professional nursing, and psychiatric nursing through the development of the Interpersonal Relations paradigm.
Choice B rationale
Madeleine Leninger is known for her work on transcultural nursing, not psychiatric nursing.
Choice C rationale
Dorthea Orem is known for her Self-Care Deficit Nursing Theory, not psychiatric nursing.
Choice D rationale
Jean Watson is known for her Theory of Human Caring, not psychiatric nursing.

A. A 67-year-old male who requires discharge teaching. B. A 24-year-old female who requires a sterile dressing change. C. A 94-year-old male who requires a bed bath and linen change. D. A 76-year-old patient complaining of new onset dizziness.

Correct Answer is B

Explanation

Choice A rationale
Discharge teaching is typically a responsibility of the RN, as it often involves complex instructions and patient education.
Choice B rationale
LPNs are skilled in many technical tasks, including sterile dressing changes. This task is within the LPN’s scope of practice and does not require the advanced assessment skills of an RN56.
Choice C rationale
A bed bath and linen change are tasks that can be competently performed by Nurse Aides.
Choice D rationale
A patient complaining of new onset dizziness should be assigned to an RN. This symptom could indicate a serious condition that requires advanced assessment and critical thinking skills.

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A 67-year-old patient is admitted to the ICU following a myocardial infarction that has caused damage to the right side of the heart. What complication is the patient most likely to experience?

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Naxlex Comprehensive Predictor Exams

Who is recognized as the “mother of psychiatric nursing”?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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A 67-year-old patient is admitted to the ICU following a myocardial infarction that has caused damage to the right side of the heart.

What complication is the patient most likely to experience?