Exhibits
Complete the following sentence by using the lists of options.
The nurse should first address the client
The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}
The nurse should first address the client pain level followed by the client's ECG results
Rationale
Pain level: Addressing the client's pain level is crucial because it directly affects their comfort and can be indicative of ongoing myocardial ischemia or infarction. The client initially reported chest pain as 7/10, which is significant. Although it has decreased to 5/10 after nitroglycerin, ongoing assessment of pain is essential to ensure it does not worsen or change in nature.
ECG results: The 12-lead electrocardiogram (ECG) shows tachycardia with ST segment elevation and T wave changes. These findings indicate acute myocardial ischemia or infarction, which is a critical concern. The ECG results guide further diagnosis and treatment decisions, such as determining the need for immediate reperfusion therapy (like thrombolytics or angioplasty).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
C. This statement shows understanding of precautions to prevent exposure to toxoplasmosis, a common opportunistic infection in individuals with compromised immune systems, including those with AIDS. Toxoplasmosis can be transmitted through handling cat feces.
A This statement suggests a general intention to improve nutrition, which is beneficial for overall health but does not specifically address infection control or prevention of opportunistic infections related to AIDS. While a healthy diet supports immune function indirectly, it does not directly demonstrate understanding of specific precautions needed due to AIDS.
B. This statement reflects a misunderstanding because HIV (Human Immunodeficiency Virus), which causes AIDS, does not survive long outside the body and cannot be transmitted through clothing.
Sterilizing clothes at a dry cleaner is unnecessary for preventing the spread of HIV.
D HIV can be effectively killed with regular household cleaners (such as bleach solutions), but alcohol alone may not be sufficient. Proper disposal of contaminated materials is important, but the method described does not accurately reflect infection control measures for HIV.
Correct Answer is D
Explanation
A Hydrogen peroxide can be too harsh and irritating to inflamed oral mucosa. It may further aggravate mucositis and delay healing. Therefore, it is not appropriate to recommend rinsing with hydrogen peroxide for a client with mucositis.
B. Brushing for 60 seconds is not enough.
C. Dentures can exacerbate mucositis by causing friction and pressure on the gums and oral mucosa. To reduce irritation, clients should remove dentures when not eating to give their gums and oral tissues a chance to rest and recover.
D. Flossing can help remove food particles and plaque from between the teeth, which could otherwise contribute to infection.
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