The nurse has given education for a client who is going to have an exercise stress test. The nurse knows the client understands the teaching when they say what?

I will not have to get an IV placed.

I can eat my breakfast before the test.

I must not drink my hot chocolate in the morning.

I can wear the clothes I would wear to the office.

Answer and Explanation

The Correct Answer is C

A. "I will not have to get an IV placed." An IV may be placed in some cases, especially if the stress test includes the use of a pharmacological agent (like adenosine or dobutamine) in place of exercise.

B. "I can eat my breakfast before the test." Clients are typically instructed to fast for at least 3 hours before the exercise stress test. Eating could interfere with accurate test results and the ability to safely exercise. The client should not eat right before the test.

C. "I must not drink my hot chocolate in the morning." Caffeine can interfere with the results of the exercise stress test by increasing heart rate and potentially masking abnormal responses to exercise. Therefore, the client should avoid caffeine (including hot chocolate) before the test.

D. "I can wear the clothes I would wear to the office." The client should wear comfortable clothing and shoes that allow for physical activity and movement, such as athletic wear. Office attire may not be suitable for the physical exertion required during the exercise stress test.

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Correct Answer is A

Explanation

A. The test is noninvasive, and nothing will be inserted into the client's body: Transthoracic echocardiography (TTE) is a noninvasive procedure that uses ultrasound waves to create images of the heart. It involves placing a transducer on the chest wall to capture images of the heart's structure and function. The nurse should inform the client that no instruments or devices will be inserted into their body during the test.

B. The client will remain on bed rest for 1 to 2 hours after the test: This statement is not typically accurate for a TTE procedure. After a TTE, clients can usually resume their normal activities without any specific bed rest requirements, unless otherwise specified by the healthcare provider based on individual circumstances.

C. The client's pain will be managed aggressively during the procedure: TTE is generally a painless procedure that does not require aggressive pain management. The client may feel slight discomfort from the transducer's pressure on the chest, but it is typically well tolerated without the need for pain medication.

D. The test will provide a detailed profile of the heart's electrical activity: While echocardiography provides detailed images of the heart's structure and function, including information about blood flow and valve function, it does not directly assess the heart's electrical activity. For evaluating electrical activity, other tests such as electrocardiography (ECG or EKG) would be used.

A. I will wear layered clothing when walking outside in winter. B. I will walk early in the morning when it is hot outside. C. If I get shortness of breath, I should slow down a bit. D. My exercise intensity should not exceed my ability to talk.

Correct Answer is B

Explanation

A. "I will wear layered clothing when walking outside in winter": This statement shows an understanding of the need to dress appropriately for weather conditions, which is important in managing symptoms during physical activity.

B. "I will walk early in the morning when it is hot outside": This statement indicates a lack of understanding regarding the ideal timing for outdoor activities, especially in hot weather. Exercising during the cooler parts of the day (such as early morning or late evening) is recommended to avoid heat-related stress and potential exacerbation of cardiovascular symptoms.

C. "If I get shortness of breath, I should slow down a bit": This statement demonstrates an understanding of monitoring symptoms during exercise and adjusting activity levels accordingly, which is an important aspect of managing coronary artery disease.

D. "My exercise intensity should not exceed my ability to talk": This statement reflects an understanding of the recommended exercise intensity level based on the ability to talk comfortably during physical activity, known as the "talk test."

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The nurse has given education for a client who is going to have an exercise stress test. The nurse knows the client understands the teaching when they say what?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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