A client is admitted with a diagnosis of myocardial infarction (MI). The client is complaining of chest pain. The nurse knows that pain related to an MI is due to

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Chapter 14 Organizing Patient Care Questions Questions

Question 1 of 5

A client is admitted with a diagnosis of myocardial infarction (MI). The client is complaining of chest pain. The nurse knows that pain related to an MI is due to

Correct Answer: A

Rationale: MI pain results from myocardial ischemia due to reduced oxygen supply.

Question 2 of 5

A young child is admitted for treatment of lead poisoning. The nurse recognizes that the most serious effect of chronic lead poisoning is

Correct Answer: A

Rationale: Lead causes irreversible CNS damage, the most severe long-term effect.

Question 3 of 5

The nurse is caring for a post-surgical client at risk for developing deep vein thrombosis. Which intervention is an effective preventive measure?

Correct Answer: C

Rationale: ROM and ambulation promote venous return, reducing DVT risk.

Question 4 of 5

Following mitral valve replacement surgery a client develops PVC's. The health care provider orders a bolus of Lidocaine followed by a continuous Lidocaine infusion at a rate of 2 mg/minute. The IV solution contains 2 grams of Lidocaine in 500 cc's of D5W. The infusion pump delivers 60 microdrops/cc. What rate would deliver 4 mg of Lidocaine/minute?

Correct Answer: A

Rationale: Calculation: 4 mg/min × 500 cc / 2000 mg × 60 gtts/cc = 60 microdrops/min.

Question 5 of 5

Which statement by the client with chronic obstructive lung disease indicates an understanding of the major reason for the use of occasional pursed-lip breathing

Correct Answer: D

Rationale: Pursed-lip breathing prolongs exhalation, preventing alveolar collapse in COPD.

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