The nurse is providing education to a client on ways to prevent the development of a pulmonary embolism. Which of the following statements would require further teaching?

"Crossing my legs will decrease my risk for a pulmonary embolism."

“I will ask my doctor for a prescription for Chantix to help me stop smoking."

“I will drink at least 8 glasses of water each day."

"I will ask my sister to go for walks with me to aid in weight loss."

Answer and Explanation

The Correct Answer is A

A. Crossing the legs can actually increase the risk of venous stasis and clot formation, which can lead to a pulmonary embolism. The client needs further teaching to avoid this habit.
B. Smoking increases the risk of blood clot formation, so quitting smoking is an appropriate preventive measure.
C. Staying hydrated helps maintain good blood flow and reduces the risk of clot formation.
D. Regular exercise and weight management help prevent venous stasis and clot formation, lowering the risk of pulmonary embolism.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. "Try taking a mild analgesic to relieve the headache." is correct. Nitroglycerin-induced headaches are a common side effect due to vasodilation. Mild analgesics such as acetaminophen can help alleviate the discomfort.
B. Taking only one dose to reduce the risk of a headache is inappropriate. The client should follow the prescribed dosing regimen to manage angina effectively. Skipping doses may increase the risk of angina attacks.
C. Requesting a different medication is not necessary. Nitroglycerin is an effective treatment for stable angina, and headaches typically diminish over time as the body adjusts to the medication.
D. Stating that nothing can be done to relieve the headaches is incorrect. Headaches from nitroglycerin can be managed with mild analgesics or by adjusting the timing of medication administration.

A. Draw a basic metabolic panel (BMP) for a potassium level B. Obtain a health history C. Auscultate the lung and heart sounds D. Assess the pulse and temperature

Correct Answer is C

Explanation

A. Drawing a basic metabolic panel (BMP) is important for monitoring electrolyte imbalances, especially potassium in clients on diuretics, but it is not the priority intervention.
B. Obtaining a health history is necessary, but assessing the client’s current status takes priority in an acute setting.
C. Auscultating the lung and heart sounds is correct. In heart failure, pulmonary congestion and fluid overload can quickly lead to respiratory distress. The nurse should immediately assess for crackles, wheezing, or signs of pulmonary edema, as well as abnormal heart sounds that may indicate worsening heart failure.
D. Assessing pulse and temperature is routine, but assessing lung and heart sounds directly evaluates for acute decompensation and should be prioritized.

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The nurse is providing education to a client on ways to prevent the development of a pulmonary embolism. Which of the following statements would require further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a provider's clinic is assessing a client who takes sublingual nitroglycerin for stable angina. The client reports getting a headache each time he takes the medication. Which of the following statements should the nurse make?

Correct Answer is A

Explanation

A client with a diagnosis of heart failure is admitted to the cardiac unit. Which intervention should the nurse complete first?

Correct Answer is C

Explanation

A nurse is assessing a client who has right-sided heart failure. Which of the following findings should the nurse expect?

The nurse is providing care to a client with a suspected pulmonary embolism. Which of the following is not a manifestation of a pulmonary embolism?

The client is being discharged with a prescription of prednisone. Which of the following is not a common side effect for this corticosteroid?

A nurse in an emergency department is planning care for a client who is having an acute myocardial infarction (MI). The nurse should plan to administer which of the following medications after the initial acute phase to manage the client's pain and anxiety?

A nurse is caring for a client with a diagnosis of left-sided heart failure. The nurse expects what assessment findings associated with left-sided heart failure? (Select All that Apply.)

The nurse recognizes which of the following as a risk factor for obstructive sleep apnea?

The nurse is educating a client about the treatment options for a pulmonary embolism. Which of the following statements would require further teaching?

A nurse is caring for a client who has valvular heart disease and is at risk for developing left-sided heart failure. Which of the following manifestations should alert the nurse the client is developing this condition?