The nurse is developing a plan of care for a client who reports chest pain on exertion and who is newly diagnosed with cardiovascular disease. Which outcome should the nurse include in the plan of care for this client?

The nurse will encourage the client to walk thirty minutes every day.

The client will monitor blood glucose and blood pressure after each meal.

The client's daily blood pressure will be less than 140/80 mm Hg this month.

The client's blood pressure readings will be less than 160/90 mm Hg.

Answer and Explanation

The Correct Answer is C

Choice A reason: Encouraging the client to walk thirty minutes every day is a good practice but does not directly relate to the immediate outcome of managing chest pain.

Choice B reason: Monitoring blood glucose and blood pressure is part of ongoing management but is not a specific outcome related to exertional chest pain.

Choice C reason: Maintaining a daily blood pressure of less than 140/80 mm Hg is a specific and measurable outcome that can help manage symptoms of cardiovascular disease and prevent complications.

Choice D reason: A blood pressure reading of less than 160/90 mm Hg is less stringent than current guidelines suggest for optimal control in cardiovascular disease.

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Correct Answer is A

Explanation

Choice A reason: The priority is to manage the client's severe pain, which can be achieved through the administration of an IV analgesic. Effective pain management is crucial for postoperative recovery and can prevent complications related to increased pain, such as elevated heart rate and blood pressure.

Choice B reason: While assessing the IV site for patency is important, it is not the most critical intervention when a client is experiencing severe pain.

Choice C reason: Providing a pillow for splinting can help with pain management during movement or coughing but does not directly address the immediate need for pain relief.

Choice D reason: Placing the client in a high-Fowler's position may aid in comfort and breathing but is not the most important intervention for severe pain management.

Correct Answer is ["0.3"]

Explanation

Step 1: Convert the client's weight from lbs to kg using the conversion factor you provided (1 kg = 2.2 lbs).

So, 110 lbs × (1 kg ÷ 2.2 lbs) = 50 kg

Step 2: Calculate the daily dosage of dalteparin in units using the prescription (150 units/kg).

So, 50 kg × 150 units/kg = 7500 units

Step 3: Determine how many mL of the medication this dosage corresponds to using the information on the syringe (7500 units/0.3 mL).

So, 7500 units × (0.3 mL ÷ 7500 units) = 0.3 mL

The nurse should administer 0.3 mL of dalteparin to the client.

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The nurse is developing a plan of care for a client who reports chest pain on exertion and who is newly diagnosed with cardiovascular disease. Which outcome should the nurse include in the plan of care for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A client who weighs 110 lbs has received a prescription for dalteparin, 150 units/kg to be administered subcutaneously daily for 4 months. The medication is available in a 7,500 units/0.3 mL prefilled syringe. How many mL should the nurse administer? (Please enter the numerical value only.)

Correct Answer is ["0.3"]

Explanation

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