The client is being ambulated due to activity intolerance caused by bacterial endocarditis. How can the nurse determine that the client is best tolerating ambulation?

Correct Answer: D

Rationale: In this scenario, the correct answer is option D - "Blood pressure that increases from 114/82 to 118/86 mm Hg." When a client is ambulated due to activity intolerance caused by bacterial endocarditis, it is crucial to monitor their vital signs to assess their tolerance for activity. An increase in blood pressure indicates that the client's cardiovascular system is responding appropriately to the increased physical activity, which suggests better tolerance to ambulation. Option A, mild dyspnea after walking 10 feet, could indicate respiratory distress and is not a sign of good tolerance to ambulation in this context. Option B, minimal chest pain rated 1 on a 1-to-10 pain scale, is not the most reliable indicator of activity tolerance in a client with endocarditis. Option C, a pulse rate that increases from 68 to 94 beats per minute, could suggest increased cardiac workload but is not as specific an indicator of tolerance to ambulation as blood pressure changes in this case. Educationally, understanding the rationale behind monitoring vital signs during ambulation in clients with endocarditis is essential for LPNs. It helps them assess the client's response to activity, detect early signs of intolerance, and prevent complications. Monitoring blood pressure provides valuable information about the client's cardiovascular response and helps guide nursing interventions to promote safe ambulation and improve outcomes.

Correct Answer: B

Rationale: When a client with CAD experiences chest pain, it indicates myocardial ischemia. The nurse should have the client stop the activity and lie back down in bed to reduce the heart's oxygen demand, decrease myocardial workload, and prevent further ischemia. This action helps in improving blood flow to the heart and can potentially alleviate the chest pain.

Correct Answer: C

Rationale: In this scenario, the highest priority for the healthcare provider to ensure is available at the bedside for a client with coronary artery disease (CAD) is option C) Oxygen tubing and flowmeter. The correct answer is C because in CAD, there is a risk of reduced oxygen supply to the heart muscle due to narrowed or blocked coronary arteries. Providing oxygen therapy can help increase the oxygen supply to the heart, reduce the workload on the heart, and improve oxygen delivery to tissues, thereby supporting the client's cardiac function and overall well-being. Options A and B (bedside commode and rolling shower chair) are important for promoting patient comfort and mobility but are not the highest priority in the immediate management of a client with CAD. Option D (Twelve-lead ECG machine) is essential for assessing cardiac status in CAD, but ensuring oxygen availability is more critical in the initial management to address potential hypoxia and support cardiac function. In an educational context, this question highlights the importance of prioritizing interventions based on the client's immediate needs, emphasizing the critical role of oxygen therapy in managing clients with CAD and other cardiac conditions. Understanding these priorities is crucial for providing safe and effective care to clients in various healthcare settings.

Correct Answer: A

Rationale: Choice A is the correct answer because regular physical activity, like walking for half an hour daily, is beneficial for managing coronary artery disease (CAD) and promoting heart health. It helps improve circulation, reduce cholesterol levels, and maintain a healthy weight, which are all important factors in managing CAD. Choices B, C, and D are incorrect as they convey misconceptions about disease management for CAD.

Correct Answer: B

Rationale: Choosing a diet that is low in fat and cholesterol is crucial for managing and preventing the progression of coronary artery disease (CAD). This dietary change can help reduce the risk of further complications associated with CAD, such as plaque buildup in the arteries. It is a fundamental lifestyle alteration that can positively impact the client's heart health.