A client with a recent ST segment elevation MI (STEMI) presents with bilateral lower extremity edema and crackles throughout the lung fields.What is the nurse's priority intervention for this client?

Increase the client's fluid intake to prevent dehydration.

Administer prescribed diuretics to reduce fluid overload.

Apply warm compresses to the lower extremities to reduce edema.

Encourage the client to ambulate to improve circulation.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Increasing fluid intake is contraindicated in clients with fluid overload, such as those with bilateral lower extremity edema and lung crackles. It can worsen the condition.

Choice B rationale

Administering prescribed diuretics is the priority intervention to reduce fluid overload in clients with heart failure post-STEMI. It helps to decrease edema and pulmonary congestion.

Choice C rationale

Applying warm compresses to the lower extremities may provide temporary relief but does not address the underlying issue of fluid overload.

Choice D rationale

Encouraging ambulation is beneficial for overall health but is not a priority intervention for managing fluid overload in this context. .

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Correct Answer is C

Explanation

Choice A rationale

Chest pain is not typically associated with benign prostatic hyperplasia (BPH). BPH affects the prostate gland, leading to urinary symptoms rather than cardiovascular symptoms.

Choice B rationale

Joint stiffness is not a symptom of BPH. Joint stiffness is more commonly associated with musculoskeletal conditions such as arthritis.

Choice C rationale

Frequent urination is a common symptom of BPH. The enlarged prostate gland can press against the urethra, causing increased frequency of urination, especially at night.

Choice D rationale

Blurred vision is not a symptom of BPH. Blurred vision can be caused by various conditions affecting the eyes but is not related to the prostate.

A. Radiating pain to the left arm. B. Shortness of breath. C. Headache. D. Nausea and vomiting.

Correct Answer is A

Explanation

Choice A rationale

Radiating pain to the left arm is a classic symptom of a myocardial infarction (MI) due to referred pain from the heart.

Choice B rationale

Shortness of breath can also be associated with MI but is not as specific as radiating pain to the left arm.

Choice C rationale

Headache is not a typical symptom of an MI. It is more commonly associated with other conditions.

Choice D rationale

Nausea and vomiting can occur with an MI but are not as specific as radiating pain to the left arm.

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A client with a recent ST segment elevation MI (STEMI) presents with bilateral lower extremity edema and crackles throughout the lung fields.What is the nurse's priority intervention for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient who has benign prostatic hyperplasia is experiencing which of the following symptoms?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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