A nurse is caring for a 65-year-old male client in the emergency department. The client is presenting with symptoms of a potential cardiac event and has been admitted for further evaluation.
Complete the following sentence by selecting the most appropriate actions based on the client’s current status.
The nurse should first
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"D"}
The nurse should first: Response 1: Notify the primary health care provider immediately.
This is crucial because the client is showing signs of a potential cardiac event, which requires immediate medical attention.
Then, the nurse should: Response 2: Start an IV line for potential medication administration.
Starting an IV line ensures that the client can receive any necessary medications quickly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Choosing foods high in fiber and low in fat is beneficial for maintaining a healthy diet. High-fiber foods help improve digestion, regulate blood sugar levels, and reduce the risk of heart disease, while low-fat foods help control calorie intake and support weight management.
Choice B rationale
Including a variety of fruits and vegetables is crucial for a balanced diet as they provide essential vitamins, minerals, and antioxidants. However, it does not address the need to limit fat intake, which is also important for overall health.
Choice C rationale
Drinking plenty of water throughout the day is vital for staying hydrated and supporting bodily functions. Nevertheless, it does not directly impact the intake of fiber and fat, which are key components of a healthy diet.
Choice D rationale
Limiting the intake of sugary and processed foods is important for reducing the risk of various health issues such as obesity, diabetes, and heart disease. However, it does not emphasize the importance of high fiber and low-fat foods, which are essential for a healthy diet. o
Correct Answer is C
Explanation
Choice A rationale
Administering a sedative medication to the client without their consent is unethical and can constitute medical malpractice.
Choice B rationale
Explaining to the client that they cannot leave until the surgeon discharges them is not effective if the client insists on leaving against medical advice.
Choice C rationale
Having the client sign an against medical advice form is the appropriate action to document that the client understands the risks of leaving and is choosing to do so against the medical team's recommendations.
Choice D rationale
Telling the client that the surgeon will prescribe restraints if they try to leave is coercive and not an appropriate method to manage a client's desire to leave the hospital.
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