The nurse is teaching a client about hypertension and the effects on the left ventricle. What diagnostic test will the nurse describe?
echocardiography
positron emission tomography (PET) scan
fluorescein angiography
computed tomographic (CT) scan
The Correct Answer is A
A. Echocardiography: This test uses ultrasound to visualize heart structures and assess left ventricular function and thickness. It’s the primary tool for evaluating hypertensive effects on the heart.
B. Positron emission tomography (PET) scan: PET scans assess metabolic activity and are used in oncology and some cardiac studies but are not first-line for evaluating left ventricular changes due to hypertension.
C. Fluorescein angiography: This test is used in ophthalmology to assess retinal blood vessels and has no relevance to cardiac or ventricular function.
D. Computed tomographic (CT) scan: CT scans may detect structural abnormalities but are not typically used to assess left ventricular function in hypertension. Echocardiography is more precise and noninvasive for this purpose.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "Chest pain should always be evaluated.": While true, this response shifts focus away from the client’s emotional experience. It is more clinical than empathetic, and may not validate the client's current distress.
B. "But you are okay now.": This can feel dismissive of the intense fear the client experienced. While intended to reassure, it overlooks the need for emotional validation during recovery from a panic attack.
C. "It must have been frightening for you.": This statement acknowledges and validates the client’s emotional experience. Empathic reflection helps reduce shame and fosters therapeutic rapport during an anxiety crisis.
D. "We would not let you die.": This response may sound comforting but unintentionally minimizes the client’s perceived fear and lacks therapeutic depth. It doesn’t address the emotional intensity of the situation.
Correct Answer is C
Explanation
A. "Everything will be fine. Your family is here for you.": This response offers reassurance but does not address or validate the client's specific fears. It may feel dismissive of their emotional distress.
B. "Don't cry: you have the best team of doctors.": Although supportive in intent, this response ignores the client’s emotional expression and can shut down open communication about their fears.
C. "Tell me what concerns you most.": This therapeutic response invites the client to express their feelings and fears openly. It helps build trust and allows the nurse to offer emotional support tailored to the client’s needs.
D. "Would you like something to calm your nerves?": Offering medication may be appropriate later, but it bypasses the opportunity to first explore the client's anxiety through conversation and emotional support.
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