The nurse is caring for a client diagnosed with a myocardial infarction (MI) who is reporting severe chest pain.Which interventions should the nurse implement? (Select all that apply.)

Place the client in the supine position.

Administer morphine intramuscularly.

Administer nitroglycerin subcutaneously.

Administer aspirin 325 orally.

Apply oxygen via nasal cannula.

Answer and Explanation

Correct Answer : D,E

Choice D rationale

Administering aspirin 325 orally is important for clients with a myocardial infarction (MI). Aspirin helps to inhibit platelet aggregation, reducing the risk of further clot formation and improving blood flow to the heart. This can significantly decrease mortality and complications associated with MI.

Choice E rationale

Applying oxygen via nasal cannula helps to increase oxygen delivery to the heart and other vital organs during an MI. Ensuring adequate oxygenation can help reduce the extent of myocardial injury and support overall cardiac function during a critical period.

Choice A rationale

Placing the client in a supine position is not appropriate during an MI, as it can increase discomfort and the workload on the heart. Instead, the client should be positioned in a semi-Fowler’s or comfortable position to improve breathing and comfort.

Choice B rationale

Administering morphine intramuscularly is not recommended during an MI. Morphine can be used for pain relief but should be given intravenously to ensure rapid onset and better control over dosing. Intramuscular administration is less effective and can delay pain relief.

Choice C rationale

Administering nitroglycerin subcutaneously is not appropriate. Nitroglycerin is typically given sublingually or intravenously during an MI to provide rapid vasodilation and pain relief. Subcutaneous administration is not effective in this context. .

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Correct Answer is C

Explanation

Choice A rationale

Chest pain is not typically associated with benign prostatic hyperplasia (BPH). BPH affects the prostate gland, leading to urinary symptoms rather than cardiovascular symptoms.

Choice B rationale

Joint stiffness is not a symptom of BPH. Joint stiffness is more commonly associated with musculoskeletal conditions such as arthritis.

Choice C rationale

Frequent urination is a common symptom of BPH. The enlarged prostate gland can press against the urethra, causing increased frequency of urination, especially at night.

Choice D rationale

Blurred vision is not a symptom of BPH. Blurred vision can be caused by various conditions affecting the eyes but is not related to the prostate.

A. Irrigate the catheter. B. Adjust the rate of the bladder irrigant. C. Notify the provider. D. Check the tubing for kinks.

Correct Answer is D

Explanation

Choice A rationale

Irrigating the catheter without checking for kinks first may not address the underlying issue and can potentially cause harm.

Choice B rationale

Adjusting the rate of the bladder irrigant may not resolve the issue if the catheter tubing is kinked.

Choice C rationale

Notifying the provider without first checking for kinks may delay the resolution of the problem.

Choice D rationale

Checking the tubing for kinks is the first action to ensure there is no obstruction preventing the flow of urine. .

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The nurse is caring for a client diagnosed with a myocardial infarction (MI) who is reporting severe chest pain.Which interventions should the nurse implement? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient who has benign prostatic hyperplasia is experiencing which of the following symptoms?

Correct Answer is C

Explanation

A nurse is caring for a client who is 5 hours postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour.Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

Which of the following is a rationale for prescribing total parenteral nutrition (TPN) for a patient with inflammatory bowel disease (IBD)?

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A patient is receiving 3% NaCl solution for correction of hyponatremia.For which of the following will the nurse assess?

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