A client who has been diagnosed with angina has been placed on the beta blocker atenolol (Tenormin). Later in the day the client says to the nurse, 'I don't understand why I have to take this pill when my chest doesn't hurt now.' Which reply by the nurse would be most appropriate?

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Question 1 of 5

A client who has been diagnosed with angina has been placed on the beta blocker atenolol (Tenormin). Later in the day the client says to the nurse, 'I don't understand why I have to take this pill when my chest doesn't hurt now.' Which reply by the nurse would be most appropriate?

Correct Answer: A

Rationale: This medication will help to prevent chest pain' is most appropriate. Atenolol reduces heart rate and demand, preventing angina per its beta-blocker action. Offering PRN meds ignores prophylaxis, strengthening is inaccurate, and breathing is unrelated. A educates on purpose, aligning with treatment goals, making it the best reply.

Question 2 of 5

The nurse is preparing to administer heparin to a client with a deep vein thrombosis. Which laboratory value should the nurse check before administering the dose?

Correct Answer: B

Rationale: Checking PTT is essential before heparin for DVT. Heparin prolongs PTT (therapeutic 1.5-2.5x normal), guiding dosing to prevent bleeding, per protocol. PT/INR (A, C) track warfarin, platelets monitor thrombocytopenia. B ensures safety, making it key.

Question 3 of 5

The nurse is preparing to transfer a client from the bed to a wheelchair. Which action should the nurse take to prevent injury?

Correct Answer: A

Rationale: Locking the wheelchair wheels prevents injury during transfer. Stability reduces fall risk, per safety standards. 90-degree angle is awkward, lifting without belt strains nurse/client, and quick standing risks instability. A ensures safety, making it key.

Question 4 of 5

Which statement by a parent would alert the nurse to assess for iron deficiency anemia in a 14 month-old child?

Correct Answer: B

Rationale: My child doesn't like many fruits and vegetables, but she really loves her milk' alerts for iron deficiency anemia. Excessive milk intake (>24 oz/day) in a 14-month-old can displace iron-rich foods, reducing absorption, per pediatric nutrition guidelines. Constipation isn't specific, appetite drop is developmental, and fluid intake is unrelated. B prompts hemoglobin and dietary assessment.

Question 5 of 5

The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Which nursing intervention is appropriate for this child?

Correct Answer: A

Rationale: Maintaining correct body alignment is appropriate for skeletal traction. It ensures fracture healing and prevents complications, per orthopedic nursing. Weights touching is incorrect, comfort adjustments are secondary, and releasing traction disrupts therapy. A prioritizes therapeutic efficacy.

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