The nurse is teaching a client with atrial fibrillation about the need to begin long-term anticoagulant therapy. Which explanation should the nurse use to best describe the reasoning for this therapy?

"Because of the dysrhythmia, blood backs up in the legs and puts you at risk for blood clots."

"Because the atria are quivering, blood flows sluggishly through them, and clots can form along the heart wall, which then could loosen and travel to the lungs or brain."

"The medications that you are taking cause blood clots as a side effect so you need this medication to prevent them."

Answer and Explanation

The Correct Answer is B

Choice A reason: The statement "Because of the dysrhythmia, blood backs up in the legs and puts you at risk for blood clots" is incorrect. Atrial fibrillation primarily causes blood to pool in the atria, not the legs.

Choice B reason: The statement "Because the atria are quivering, blood flows sluggishly through them, and clots can form along the heart wall, which then could loosen and travel to the lungs or brain" accurately explains the risk of clot formation in atrial fibrillation and the importance of anticoagulant therapy to prevent strokes and other complications.

Choice C reason: The statement "The medications that you are taking cause blood clots as a side effect so you need this medication to prevent them" is incorrect. Anticoagulant therapy in atrial fibrillation is used to prevent clot formation due to the arrhythmia itself, not as a counteraction to the side effects of other medications.

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Correct Answer is ["A","B","C"]

Explanation

Choice A reason: LPNs can reinforce teaching that has already been provided by an RN. They can help clarify and reinforce the diabetic diet plan to the client.

Choice B reason: Routine dressing changes are within the scope of practice for LPNs. They can provide this care effectively.

Choice C reason: LPNs are qualified to administer intravenous medications. This is within their scope of practice and ensures that clients receive their medications timely.

Choice D reason: Providing a bath is typically assigned to UAPs. This task does not require the clinical judgment and skills of an LPN.

Choice E reason: Assisting with ambulation is typically assigned to UAPs. This task does not require the clinical judgment and skills of an LPN.

A. "You are right, I cannot really understand. Perhaps you would like to tell me more about what you are feeling." B. "It takes time to get over the loss of a loved one." C. "Why don't you try something to take your mind off your troubles?" D. "I might not share your exact situation, but I do know what people go through when they deal with a loss."

Correct Answer is A

Explanation

Choice A reason: This response acknowledges the client's feelings and validates their experience. It opens the door for the client to express their emotions and share their thoughts. This empathetic approach helps build trust and provides emotional support.

Choice B reason: Telling the client that it takes time to get over the loss of a loved one is a generalized statement that may not provide the support the client needs. It can come across as dismissive and may not encourage further conversation.

Choice C reason: Suggesting that the client try something to take their mind off their troubles can seem dismissive of their grief. It does not address the client's emotional needs or encourage them to talk about their feelings.

Choice D reason: While this response shows some understanding, it does not fully acknowledge the uniqueness of the client's situation. It is important to validate the client's feelings and encourage them to express their emotions.

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The nurse is teaching a client with atrial fibrillation about the need to begin long-term anticoagulant therapy. Which explanation should the nurse use to best describe the reasoning for this therapy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing the client assignments for the day to a licensed practical nurse (LPN) and an unlicensed assistive personnel (UAP). Which client should the nurse assign to the LPN? (Select all that apply)

Correct Answer is ["A","B","C"]

Explanation

Correct Answer is A

Explanation

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