The nurse is educating a client newly diagnosed with coronary artery disease. What statement by the client would lead the nurse to understand more teaching is needed?
I will wear layered clothing when walking outside in winter.
I will walk early in the morning when it is hot outside.
If I get shortness of breath, I should slow down a bit.
My exercise intensity should not exceed my ability to talk.
The Correct Answer is B
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."
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1712.32"]
Explanation
To calculate the client's total intake for the 8-hour shift, we need to convert all the volumes to milliliters (mL) and then add them together. Here are the given volumes and their conversions:
1,000 mL 0.9% sodium chloride IV (no conversion needed)
One 6-oz cup of coffee:
6 oz * 29.5735 (conversion factor for oz to mL) = approximately 177.44 mL
6 oz of water:
6 oz * 29.5735 = approximately 177.44 mL
One 180-mL bowl of soup (no conversion needed)
3 oz of flavored gelatin:
3 oz * 29.5735 = approximately 88.72 mL
3 oz of ice cream:
3 oz * 29.5735 = approximately 88.72 mL
Now, let's add up all the volumes:
1,000 mL (IV fluid) + 177.44 mL (coffee) + 177.44 mL (water) + 180 mL (soup) + 88.72 mL (gelatin) + 88.72 mL (ice cream) = 1,712.32 mL
Therefore, the nurse should document the client's total intake for the shift as approximately 1,712.32 mL.
Correct Answer is ["5"]
Explanation
To calculate how many milliliters (mL) of metoprolol 1 mg/mL solution should be administered to deliver a 5 mg IV bolus dose, you can use the following formula:
Dose (mL) = Desired dose (mg) / Concentration (mg/mL)
In this case:
Desired dose = 5 mg
Concentration = 1 mg/mL
Dose (mL) = 5 mg / 1 mg/mL = 5 mL
Therefore, the nurse should administer 5 mL of metoprolol 1 mg/mL solution per dose to deliver a 5 mg IV bolus for heart rate control.
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