A nurse at a provider's office receives a phone call from a client who reports nausea and unrelieved chest pain after taking a nitroglycerin tablet 5 min ago. Which of the following is an appropriate response by the nurse?

Tell the client to take another nitroglycerin tablet in 15 min.

Advise the client to come to office.

instruct the client to call 911.

Tell the client to take an antacid

Answer and Explanation

The Correct Answer is C

A. Taking another nitroglycerin tablet without medical supervision is inappropriate and can lead to unsafe drops in blood pressure. This situation requires immediate evaluation by emergency services.

B. Advising the client to come to the office is not appropriate because the client needs immediate emergency care, which cannot be provided in a typical provider’s office.

C. Nitroglycerin is typically used to relieve chest pain from angina, but if the pain persists after taking it, this may indicate a myocardial infarction (MI). The client should call 911 immediately for emergency medical care as chest pain not relieved by nitroglycerin is a critical sign.

D. Antacids are not appropriate for chest pain associated with possible MI, as this pain is not due to acid reflux. Immediate medical intervention is necessary.

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Correct Answer is ["B","D","E"]

Explanation

A. Smoking, even at a reduced rate, still significantly increases the risk of CAD, so reducing smoking to only one pack a week is not an acceptable solution.

B. Regular exercise, such as walking, is beneficial for managing coronary artery disease (CAD), improving cardiovascular fitness, and reducing risk factors like hypertension and obesity.

C. Consuming red meat and cheese daily is not recommended for CAD management due to the high saturated fat content, which can raise cholesterol levels and worsen the condition. A heart-healthy diet typically limits these foods.

D. Maintaining a healthy weight through weight loss is a key factor in managing CAD risk, as obesity contributes to hypertension, diabetes, and lipid imbalances.

E. Regular doctor appointments for physical exams and monitoring blood pressure are essential for managing CAD and preventing complications such as heart attacks or strokes.

Correct Answer is ["8"]

Explanation

Calculate the total infusion time:

Total volume (mL) / Infusion rate (mL/hr) = Infusion time (hours)

1000 mL / 125 mL/hr = 8 hours

Therefore, the IV pump should infuse the 1-liter bag of 0.9% sodium chloride over 8 hours.

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A nurse at a provider's office receives a phone call from a client who reports nausea and unrelieved chest pain after taking a nitroglycerin tablet 5 min ago. Which of the following is an appropriate response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse teaches a client at risk for coronary artery disease about necessary lifestyle changes. The nurse determines that the client understands the education if the client makes which statements? Select all that apply.

Correct Answer is ["B","D","E"]

Explanation

Correct Answer is ["8"]

Explanation

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The nurse is reviewing laboratory values for a client receiving a continuous heparin infusion. Which of the following laboratory values should the nurse monitor?

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A nurse at a provider's office receives a phone call from a client who reports nausea and unrelieved chest pain after taking a nitroglycerin tablet 5 min ago. Which of the following is an appropriate response by the nurse?

The home care nurse has given instructions to a client who was recently discharged from the hospital regarding the care of their extremities due to peripheral arterial disease. The nurse determines that there is a need for further teaching if the client makes which statement?