A client diagnosed with angina pectoris appears to be very anxious and states, "So I had a heart attack, right?" Which response should the nurse make to the client?
"Yes, that's why you are hospitalized."
"Yes, but it will never happen again."
"No, but it is necessary to monitor, control, and eliminate your chest pain."
"No, it is normal to feel chest pain."
The Correct Answer is C
Choice A reason: Telling the client that they are hospitalized due to a heart attack when it is not the case can cause unnecessary anxiety and fear. It is important to provide accurate information and reassurance.
Choice B reason: Stating that it will never happen again is unrealistic and provides false reassurance. It is important to focus on managing the client's condition and reducing the risk of future episodes.
Choice C reason: Explaining that the client did not have a heart attack but emphasizing the importance of monitoring and managing chest pain provides accurate information and reassurance. It helps reduce the client's anxiety and provides a clear plan of action.
Choice D reason: Saying it is normal to feel chest pain without further explanation can cause confusion and anxiety. It is important to clarify that chest pain needs to be monitored and managed to prevent complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: A low fiber diet with decreased intake of nuts is not specifically indicated for managing Meniere's disease. Meniere's disease management focuses on fluid balance rather than dietary fiber.
Choice B reason: A low fat diet with a restriction of citrus fruits is not relevant to Meniere's disease. Fat intake and citrus fruits do not directly affect the symptoms or management of this condition.
Choice C reason: A low carbohydrate diet and the elimination of red meats are not standard dietary recommendations for Meniere's disease. The focus is on reducing sodium intake to manage fluid retention and balance.
Choice D reason: A low sodium diet and fluid restriction are key dietary measures for managing Meniere's disease. Reducing sodium intake helps to decrease fluid retention, which can alleviate symptoms such as vertigo and tinnitus associated with this condition.
Correct Answer is D
Explanation
Choice A reason: Hypotension (low blood pressure) is not a typical manifestation of the oliguric phase of acute kidney injury. In fact, during this phase, patients are more likely to experience hypertension due to fluid overload.
Choice B reason: Hyperglycemia is not directly related to acute kidney injury. While blood sugar levels can be affected by various factors, they are not a specific manifestation of this condition.
Choice C reason: Weight loss is unlikely in the oliguric phase of acute kidney injury. Instead, patients might experience weight gain due to fluid retention.
Choice D reason: Pulmonary edema is a common manifestation in the oliguric phase of acute kidney injury. This phase is characterized by decreased urine output, leading to fluid overload and subsequent complications such as pulmonary edema, where fluid accumulates in the lungs.
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