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 D

Explanation

A. Cutting toenails straight across is an appropriate action for PAD clients because it prevents injury or infection, as clipping nails too short or rounding the edges can cause cuts or ingrown nails.

B. Wearing shoes and socks instead of open-toed shoes is recommended to protect the feet from injury, as individuals with PAD have decreased sensation in their feet, increasing the risk of unnoticed injury.

C. Inspecting the feet daily for cuts is a crucial step in PAD management to detect early signs of infection or injury, which can lead to complications such as gangrene or amputation.

D. Raising the legs above the heart level can worsen symptoms in PAD by further reducing arterial blood flow to the lower extremities, where circulation is already compromised. This technique is typically used in venous insufficiency, not PAD.

A. Mark the surgical site with an "X B. Ask the client about their last food and fluid intake C. Educate the client that they will need to keep their leg straight for 6 hours after the procedure. D. Ask the client about their prescribed, over the counter, and herbal medication use E. Begin prophylactic heparin therapy prior to the procedure

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

Explanation

A. Marking the surgical site with an "X" is not typically done for cardiac catheterization. Instead, the healthcare provider may mark the site if necessary, but this is usually done by the surgeon or interventional cardiologist.

B. Asking about food and fluid intake is crucial because the client will need to be NPO (nothing by mouth) for several hours before the procedure to reduce the risk of aspiration during sedation or anesthesia.

C. Educating the client about keeping their leg straight after the procedure is necessary, but this typically occurs after the procedure, not before. This helps prevent complications such as bleeding or clot formation at the insertion site.

D. Asking about prescribed, over-the-counter, and herbal medications is important because certain medications, especially anticoagulants and blood thinners, need to be stopped before the procedure to minimize the risk of bleeding during catheterization.

E. Prophylactic heparin therapy may be ordered by the provider, but it is not typically administered by the nurse before the procedure unless specifically ordered.

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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 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?

Correct Answer is D

Explanation

A nurse is admitting a client who reports chest pain. Exhibits The nurse is preparing the client for the cardiac catheterization (coronary angiography). Which of the following actions should the nurse take? (Select all that apply.)

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

Explanation

The nurse is assessing a client diagnosed with peripheral arterial disease. The client reports leg pain and cramping after walking 3 blocks, which is relieved when the client stops and rests. The nurse documents that the client is experiencing which clinical manifestation?

The nurse is evaluating a client with multiple cardiovascular risk factors. Which of the following assessment findings would be most indicative of chronic venous insufficiency?

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

The nurse is educating a client prior to an electrocardiogram (ECG). What is the best explanation regarding the purpose of electrocardiography?

A patient who has recently started taking simvastatin (Zocor) reports several symptoms to the nurse. Which assessment finding is most important to communicate to the health care provider?

The patient diagnosed with primary hypertension asks why it is called primary and not secondary. What is the best explanation for the nurse to provide?