A patient who has been scheduled for an exercise stress electrocardiogram asks why this test is needed. Which of the following is the nurse's best response?

It determines a target heart rate.

It identifies how much more exercise is needed.

It shows how the heart performs during exercise.

It can predict whether a heart attack may occur.

Answer and Explanation

The Correct Answer is C

Choice A reason: Determining a target heart rate is not the primary purpose of an exercise stress electrocardiogram; it is more about observing the heart's function under stress³.

Choice B reason: Identifying the need for more exercise is not the direct outcome of this test; it is used to assess cardiovascular response to stress³.

Choice C reason: The test is designed to show how the heart performs during exercise, which can help diagnose conditions like coronary artery disease³.

Choice D reason: Predicting a heart attack is not the purpose of an exercise stress electrocardiogram; rather, it helps to identify heart conditions that may lead to complications if left untreated³.

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Correct Answer is B

Explanation

Choice A reason: While it's important to communicate with the doctor, this does not provide immediate reassurance or information about the medication's typical onset of action.

Choice B reason: This is the most accurate response as SSRIs like sertraline (Zoloft) typically take several weeks to show full effects, and it's important for patients to understand this.

Choice C reason: While a balanced diet is important, it is not directly related to the effectiveness of sertraline in the short term.

Choice D reason: Encouraging involvement in activities is beneficial, but it does not address the patient's concern about the medication's effectiveness.

A. No gluten. B. No extra salt. C. No processed lunch meat. D. No caffeine.

Correct Answer is C

Explanation

Choice A reason: Gluten is not typically restricted for patients taking MAOIs unless they have a separate condition that requires this diet.

Choice B reason: Extra salt does not interact with MAOIs, so it is not necessary to avoid it unless the patient has other health concerns that require a low-sodium diet.

Choice C reason: Processed lunch meats are high in tyramine, which can cause dangerous interactions with MAOIs, leading to hypertensive crises.

Choice D reason: While caffeine may need to be limited, it is not as critical as avoiding high-tyramine foods like processed lunch meats when taking MAOIs.

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A patient who has been scheduled for an exercise stress electrocardiogram asks why this test is needed. Which of the following is the nurse's best response?

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Naxlex Comprehensive Predictor Exams

Your patient has a diagnosis of major depressive disorder and has been started on sertraline (Zoloft) 50mg daily. After taking the medication for 3 days, the patient says, "I don't think the medicine is working. I don't want to take it any longer." What is your best response?

Correct Answer is B

Explanation

Your new patient is taking an MAOI for severe depression. What would you tell the dietary department about her upcoming meals?

Correct Answer is C

Explanation

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