A client with a congenital heart disease is experiencing shortness of breath and chest pain. What action should the client take immediately?
Take an over-the-counter pain reliever.
Perform deep breathing exercises.
Lie down and rest quietly.
Seek medical attention promptly.
The Correct Answer is D
A) Incorrect. Taking an over-the-counter pain reliever may not address the underlying cause of the symptoms and is not the appropriate action in this situation.
B) Incorrect. Deep breathing exercises may not alleviate the symptoms of shortness of breath and chest pain. The client should seek medical attention for proper evaluation and management.
C) Incorrect. While resting quietly is generally advisable, it may not be sufficient to address the client's symptoms. Seeking medical attention is essential to identify and manage the cause of the symptoms.
D) The answer is D. Shortness of breath and chest pain can be signs of a cardiac event or worsening of the congenital heart disease. The client should seek medical attention immediately to receive appropriate evaluation and treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) The answer is A. Digoxin is commonly prescribed for clients with congenital heart diseases to improve cardiac contractility. It is essential to monitor the heart rate before administration since digoxin can cause bradycardia as a side effect.
B) Incorrect. The statement is not accurate. There is no need to avoid green, leafy vegetables while taking digoxin. However, the client should be informed about potential drug interactions and follow a balanced diet.
C) Incorrect. Clients taking digoxin should be cautious about consuming potassium-rich foods, as hypokalemia (low potassium levels) can potentiate the effects of digoxin and lead to toxicity.
D) Incorrect. Mild nausea can be a common side effect of digoxin, and the client should not discontinue the medication without consulting their healthcare provider. Instead, they should report any adverse effects for proper evaluation.
Correct Answer is A
Explanation
A) The answer is A. Before administering furosemide, it is essential to assess the child's respiratory rate because this medication is a loop diuretic that can lead to fluid and electrolyte imbalances, including hypokalemia. Respiratory rate assessment helps monitor for signs of respiratory distress, especially in clients with heart failure.
B) Incorrect. While monitoring the child's blood pressure is essential, it is not the priority action before administering furosemide. Blood pressure may be affected by the diuretic action of the medication, but respiratory status is more critical to assess initially.
C) Incorrect. Although monitoring electrolyte levels is important when administering furosemide, it is not the priority action. Assessing the child's respiratory rate takes precedence to identify any respiratory distress.
D) Incorrect. Determining the child's weight is relevant in assessing the effectiveness of furosemide therapy. However, it is not the priority action before administering the medication. Respiratory assessment is more critical for immediate intervention.
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