The nurse is providing care for a client admitted to rule out a myocardial infarction who is experiencing chest pain while walking to the bathroom. Which action should the nurse implement first?
Obtain a STAT electrocardiogram
Have the client sit down immediately
Assess the client's vital signs
Administer sublingual nitroglycerin
The Correct Answer is B
A. Obtaining an ECG is important but not the first action. The priority is to stop activity, as exertion can worsen myocardial oxygen demand.
B. Having the client sit down immediately is correct. Stopping activity reduces cardiac workload and oxygen demand, preventing further ischemia or infarction.
C. Assessing vital signs is important but should follow stopping activity. Chest pain requires immediate action to reduce cardiac strain.
D. Administering sublingual nitroglycerin is appropriate but should be done after ensuring the client is seated. This prevents hypotension and syncope from occurring while standing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Nitroglycerin is used in the acute phase of an MI to relieve chest pain by dilating coronary arteries. However, after the initial phase, it is not the primary medication for managing pain and anxiety.
B. Morphine is administered after the initial acute phase to manage pain and anxiety. It reduces myocardial oxygen demand, decreases pain perception, and provides sedation, which can help lower stress levels.
C. Aspirin is given in the acute phase to prevent further clot formation but does not address pain and anxiety.
D. Oxygen is administered in the acute phase if the client is hypoxic, but routine oxygen therapy is no longer recommended unless needed.
Correct Answer is A
Explanation
A. Weight loss is not a common side effect of prednisone. Instead, weight gain due to fluid retention and increased appetite is a frequent side effect.
B. Dry mouth can occur with prednisone use, though it is not the most common side effect.
C. Hyperglycemia is a well-known side effect because corticosteroids increase glucose production and reduce insulin sensitivity.
D. Decreased wound healing is a common effect due to prednisone's immunosuppressive and anti-inflammatory properties, which impair tissue repair.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.