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A nurse is caring for a client who is having an acute myocardial infarction (MI). The nurse is aware that which of the following are part of the assessment of cardiac pain. (SELECT ALL THAT APPLY)

Distribution

Onset

Intensity

Location

Radiation

Alleviated

Answer and Explanation

Correct Answer : A,B,C,D,E,F

Rationale:

A. Distribution refers to the area of the body where the pain is felt.

B. Onset refers to when the pain started.

C. Intensity refers to the severity of the pain.

D. Location refers to where the pain is felt.

E. Radiation refers to whether the pain spreads to other areas.

F. Alleviated refers to what makes the pain better or worse.

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Correct Answer is A

Explanation

Rationale:

A. Notifying the provider of the client's allergy is the priority to ensure that appropriate precautions are taken during the cardiac catheterization.

B. Notifying the dietary department is not necessary in this situation.

C. Asking about other foods is important but not the priority at this time.

D. Attaching a wristband indicating the allergy may be done later but is not the priority at this time.

A. "I will take my diuretic before sleep and drink fluids during the day." B. "I will read food labels and limit my sodium to 4 grams per day." C. "I plan to pace my activities to avoid fatigue." D. "I should use naproxen to manage discomfort."

Correct Answer is B

Explanation

Rationale:

A. Taking a diuretic before sleep and drinking fluids during the day is important but does not specifically address sodium intake.

B. This statement indicates an understanding of the importance of limiting sodium intake, which is crucial in managing congestive heart failure.

C. Pacing activities is important but is not specific to sodium intake.

D. Naproxen is not typically used to manage discomfort in congestive heart failure.

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A nurse is caring for a client who is having an acute myocardial infarction (MI). The nurse is aware that which of the following are part of the assessment of cardiac pain. (SELECT ALL THAT APPLY)

Nursing Test Bank

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