The night nurse in the cardiac ICU has just received a report on several patients. Which of the following clients should the nurse prioritize for rounds?

A patient with a new-onset of confusion and restlessness.

A patient who reports dizziness after receiving captopril (Capoten).

A patient who requires oxygen via nasal cannula with saturations of 97%.

A patient who has received digoxin and has a blood pressure (BP) of 100/56.

Answer and Explanation

The Correct Answer is A

Choice A reason: A patient with a new-onset of confusion and restlessness is a priority because these symptoms could indicate a serious condition such as hypoxia, electrolyte imbalance, or a neurological event like a stroke. These changes in mental status need to be evaluated immediately to prevent further complications.

Choice B reason: Dizziness after receiving captopril (Capoten) can be a side effect of the medication due to its blood pressure-lowering effects. While it should be monitored, it is not as urgent as the new-onset confusion and restlessness seen in another patient.

Choice C reason: A patient requiring oxygen via nasal cannula with saturations of 97% is stable as the oxygen saturation is within normal limits. This patient does not need to be prioritized over others with more acute symptoms.

Choice D reason: A patient who has received digoxin and has a blood pressure of 100/56 should be monitored, especially for signs of digoxin toxicity. However, this situation is not as critical as the new-onset confusion and restlessness in another patient.

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Correct Answer is ["A","B","D"]

Explanation

Choice A reason: Cigarette or tobacco smoke is a major trigger for asthma attacks. Inhaling smoke irritates the airways, leading to inflammation and bronchoconstriction, making it harder for asthmatic individuals to breathe.

Choice B reason: Air pollution, including smog, industrial emissions, and vehicle exhaust, can exacerbate asthma symptoms. Pollutants in the air can trigger airway inflammation and constriction, leading to asthma attacks.

Choice C reason: Physical activity is not a common trigger for moderate persistent asthma if managed properly. Regular exercise is generally encouraged for overall health and can help improve lung function. However, clients should use their prescribed inhaler and follow their asthma action plan to manage exercise-induced asthma symptoms.

Choice D reason: Certain cough products, especially those containing ingredients like menthol or chemicals, can irritate the airways and trigger asthma symptoms. It's important for clients with asthma to avoid using over-the-counter cough products without consulting their healthcare provider.

A. "Yes, that's why you are hospitalized." B. "Yes, but it will never happen again." C. "No, but it is necessary to monitor, control, and eliminate your chest pain." D. "No, it is normal to feel chest pain."

Correct Answer is C

Explanation

Choice A reason: Telling the client that they are hospitalized due to a heart attack when it is not the case can cause unnecessary anxiety and fear. It is important to provide accurate information and reassurance.

Choice B reason: Stating that it will never happen again is unrealistic and provides false reassurance. It is important to focus on managing the client's condition and reducing the risk of future episodes.

Choice C reason: Explaining that the client did not have a heart attack but emphasizing the importance of monitoring and managing chest pain provides accurate information and reassurance. It helps reduce the client's anxiety and provides a clear plan of action.

Choice D reason: Saying it is normal to feel chest pain without further explanation can cause confusion and anxiety. It is important to clarify that chest pain needs to be monitored and managed to prevent complications.

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The night nurse in the cardiac ICU has just received a report on several patients. Which of the following clients should the nurse prioritize for rounds?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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