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A nurse is caring for a newly-admitted client.

Exhibits
The nurse is developing a plan of care with a cardiac rehabilitation team. Which of the following topics should the nurse recommend the team plan to address with the client? Select all that apply.

Cardioversion therapy

Relaxation techniques

Potential pacemaker placement

Blood pressure management

Meal planning ideas

Nitroglycerin self-administration

Physical activity recommendations

Smoking cessation program

Answer and Explanation

Correct Answer : B,D,E,F,G,H

Rationale:

A. Cardioversion therapy: There is no evidence of arrhythmias requiring cardioversion, such as atrial fibrillation or ventricular tachycardia. The client’s rhythm disturbances are not documented, and this is not relevant to their current clinical condition.

B. Relaxation techniques: The client has a long-standing history of generalized anxiety disorder and is exhibiting current anxiety with fear of dying. Incorporating relaxation strategies can reduce cardiac workload, support mental health, and prevent future anxiety-related complications.

C. Potential pacemaker placement: There is no indication of conduction delays, bradyarrhythmias, or heart block that would warrant pacemaker therapy. The client's vital signs and cardiac history do not support this as a current or anticipated need.

D. Blood pressure management: Although BP is currently stable, the client is post-MI with a history of hyperlipidemia and smoking. Ongoing BP control reduces strain on the heart and is vital to secondary prevention of cardiac events and stroke recurrence.

E. Meal planning ideas: The client is dissatisfied with the hospital diet and has no structured dietary practices at home. Providing cardiac-healthy meal planning strategies can improve lipid profile, manage weight, and prevent diet-related risk factor escalation.

F. Nitroglycerin self-administration: The client recently used nitroglycerin effectively for chest pain relief. Education on proper use, frequency, and when to seek emergency care is essential to empower the client in self-management and prevent complications.

G. Physical activity recommendations: The client currently avoids exercise due to fatigue but requires guided activity to support cardiac recovery. Tailored recommendations from rehab experts can improve endurance, reduce fatigue, and promote cardiovascular fitness safely.

H. Smoking cessation program: Although smoking less frequently, the client is still actively smoking. Smoking is a significant modifiable risk factor for recurrent MI and COPD exacerbation. A structured cessation program supports long-term abstinence and respiratory health.

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Free Nursing Study Resources

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A,B"},"C":{"answers":"A,B,C"},"D":{"answers":"A,B"},"E":{"answers":"C"},"F":{"answers":"B"}}

Explanation

Rationale:

Drooling: Drooling is classic in epiglottitis due to severe throat pain and an inability to swallow. It is not commonly seen in RSV or streptococcal pharyngitis, where swallowing remains relatively intact.
Hypoxia: Both epiglottitis and RSV can cause hypoxia. In epiglottitis, airway obstruction can quickly compromise oxygenation. In RSV, hypoxia results from inflammation and mucus plugging in the small airways.
Fever: Fever is a nonspecific but common finding across all three conditions. It signals an inflammatory or infectious process, whether viral (RSV), bacterial (Streptococcus), or in epiglottitis (often Haemophilus influenzae type b if unimmunized).
Tachypnea: Tachypnea may occur in both epiglottitis and RSV as the body compensates for airway compromise and impaired gas exchange. It is not a typical feature of uncomplicated streptococcal pharyngitis.
Exudate on pharynx: Pharyngeal exudates are common in streptococcal pharyngitis and help differentiate it from viral causes. They are typically absent in RSV and epiglottitis, where the pathology lies elsewhere (lower airways or supraglottic structures).
Wheezing upon auscultation: Wheezing is a hallmark of RSV due to bronchiolar inflammation and narrowing. It is not seen in epiglottitis or streptococcal pharyngitis, as those conditions do not primarily affect the bronchioles.

A. "Have your child lie down and turn their head to the side for 10 minutes.” B. "Place a warm, wet washcloth over your child's forehead and the bridge of their nose.” C. "Tell your child to blow their nose gently and then sit down and but their head backward.” D. “Use your thumb and forefinger to apply pressure to the sides of your child's nose”

Correct Answer is D

Explanation

Rationale:

A. "Have your child lie down and turn their head to the side for 10 minutes." Lying down increases blood flow to the head, which can worsen the nosebleed or cause aspiration if blood is swallowed. Upright posture is preferred to reduce venous pressure in nasal vessels.

B. "Place a warm, wet washcloth over your child's forehead and the bridge of their nose." Warm compresses can dilate blood vessels and worsen bleeding. Cold compresses are more appropriate to constrict blood vessels and reduce blood flow.

C. "Tell your child to blow their nose gently and then sit down and put their head backward." Blowing the nose can dislodge clots and worsen bleeding. Tilting the head back can cause blood to run down the throat, increasing the risk of nausea, vomiting, or aspiration.

D. "Use your thumb and forefinger to apply pressure to the sides of your child's nose."
Pinching the soft part of the nose for 10–15 minutes while the child leans slightly forward is the first-line intervention for epistaxis. This reduces bleeding and prevents aspiration.

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A nurse is caring for a newly-admitted client. Exhibits The nurse is developing a plan of care with a cardiac rehabilitation team. Which of the following topics should the nurse recommend the team plan to address with the client? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A,B"},"C":{"answers":"A,B,C"},"D":{"answers":"A,B"},"E":{"answers":"C"},"F":{"answers":"B"}}

Explanation

A nurse receives a telephone call from a parent reporting that their school-age child has a nosebleed and that they cannot stop the bleeding. Which of the following instructions should the nurse provide to the parent?

Correct Answer is D

Explanation

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A nurse is caring for a newly-admitted client.

Exhibits
The nurse is developing a plan of care with a cardiac rehabilitation team. Which of the following topics should the nurse recommend the team plan to address with the client? Select all that apply.