The nurse is developing a plan of care for an older patient with hypertension who reports chest pain on exertion. Which outcome should the nurse include in the plan of care for this patient?

The nurse will call the patient weekly to monitor the patient's blood pressure and symptoms.

The patient will take up to 4 nitroglycerine tablets sublingually for chest pain.

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

The patient will record episodes of angina and self-management for one week.

Answer and Explanation

The Correct Answer is D

Choice A reason: While monitoring blood pressure and symptoms is important, it is not a self-management outcome.
Choice B reason: Taking up to 4 nitroglycerine tablets may be part of the treatment plan, but it is not an outcome.
Choice C reason: Encouraging daily exercise is good, but it does not address the management of chest pain on exertion.
Choice D reason: This is the correct choice. Recording episodes of angina and self-management strategies provides valuable information for adjusting treatment and empowering the patient.

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Correct Answer is C

Explanation

Choice A reason: Limiting green, leafy vegetables is not typically necessary for patients with liver disease and esophageal varices unless they are on anticoagulant therapy.
Choice B reason: While passive range of motion exercises are beneficial for maintaining joint mobility, they are not directly related to the prevention of hematemesis.
Choice C reason: This is the correct choice. Lifting heavy objects can increase abdominal pressure and the risk of bleeding from esophageal varices.
Choice D reason: Midodrine is a medication used to treat low blood pressure, not specifically for esophageal varices or hematemesis.

A. Provide the child with an iPad with a guided meditation and relaxation app running. B. A bumblebee-shaped device with a vibrating sensation placed proximally to the blood draw site. C. Intravenous sedation 15 minutes prior to the procedure. D. EMLA cream applied immediately before the procedure.

Correct Answer is D

Explanation

Choice A reason: While distraction can be helpful, it may not be sufficient to reduce the pain of a needle stick for a 2-year-old.
Choice B reason: The vibrating device may distract from the pain, but it does not provide actual analgesia.
Choice C reason: Intravenous sedation is not practical or safe for daily blood draws in a 2-year-old.
Choice D reason: This is the correct choice. EMLA cream is a topical anesthetic that can effectively numb the skin and reduce pain from needle sticks.

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The nurse is developing a plan of care for an older patient with hypertension who reports chest pain on exertion. Which outcome should the nurse include in the plan of care for this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with liver disease and esophageal varices is admitted for an episode of hematemesis. Which patient teaching should the nurse provide prior to discharge?

Correct Answer is C

Explanation

A parent asks the nurse if there is anything that can be done to reduce the pain that his 2-year-old experiences each morning when blood is drawn for lab studies. Which intervention is the best choice for the nurse to implement based on the parent's concern?

Correct Answer is D

Explanation

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