The nurse is providing care to a female client who is diagnosed with coronary artery disease. The client states to the nurse, "I don't know how this happened." Which response by the nurse is the most appropriate?- Nurselytic

Question 1 of 5

The nurse is providing care to a female client who is diagnosed with coronary artery disease. The client states to the nurse, "I don't know how this happened." Which response by the nurse is the most appropriate?

A. "Women who take oral contraceptives are more likely to develop this disease." B. "Women who have children later in life often develop this disease" C. "Women with a history of sexually transmitted infections are more likely to develop this disease." D. "Women who conceive through the use of in-vitro fertilization are more likely to develop this disease."

Correct Answer: A

Rationale: Option A is the most appropriate response by the nurse because it provides accurate information related to the client's concern about developing coronary artery disease. Studies have shown that women who take oral contraceptives have an increased risk of developing cardiovascular issues, including coronary artery disease. By providing this information, the nurse addresses the client's statement and educates her about a potential risk factor for the disease. This empowers the client with knowledge that can help her understand the possible reasons behind her diagnosis and make informed decisions about her health moving forward.

Question 2 of 5

The nurse is preparing a patient for an intravenous pyelogram. What should be a part of the patient’s care at this time? Select all that apply.

A. Assess for allergies to seafood or iodine B. Instruct on pre-procedure bowel preparation C. Teach to eat a soft diet the morning of the test D. Remind to withhold taking diuretics the day of the test e. Check prescribed medications for oral hypoglycemic agents

Correct Answer: A

Rationale: A. Assess for allergies to seafood or iodine: It is essential to assess the patient for allergies to seafood or iodine because contrast material containing iodine is commonly used during an intravenous pyelogram (IVP). Allergic reactions to iodine can range from mild to severe, so assessing for allergies is crucial for patient safety.

Question 3 of 5

The nurse is planning care for a pediatric client recovering from surgery to repair a congenital heart defect. Which intervention should the nurse include to support the client's fluid status?

A. Encourage oral intake of fluids when permitted. B. Limit oral and intravenous intake of fluids. C. Continue normal saline administration even after oral intake is normal. D. Convert the intravenous line to a saline lock immediately after surgery.

Correct Answer: A

Rationale: Encouraging oral intake of fluids when permitted is the most appropriate intervention to support the pediatric client's fluid status post-surgery. Adequate hydration is essential for the recovery process, and oral intake of fluids helps maintain fluid balance. Limiting oral and intravenous intake of fluids (option B) would not be beneficial in promoting hydration and recovery. Continuing normal saline administration even after oral intake is normal (option C) may lead to fluid overload. Converting the intravenous line to a saline lock immediately after surgery (option D) may not be ideal as the client may still need intravenous fluids to support hydration until they can tolerate oral intake effectively.

Question 4 of 5

The nurse is providing teaching about long-term anticoagulant therapy to a client recovering from a pulmonary embolism. Which client statement indicates that instruction has been effective?

A. "I will expect bloody sputum when I brush my teeth." B. "I need to use a soft toothbrush and an electric razor to avoid injuries." C. "I need to eat a well-balanced diet with green salads." D. "I can expect to be bruised, since this is normal."

Correct Answer: B

Rationale: The correct answer is B. The statement "I need to use a soft toothbrush and an electric razor to avoid injuries" indicates that the client understands the importance of preventive measures to minimize bleeding risks while on anticoagulant therapy. Using a soft toothbrush and an electric razor can help prevent accidental cuts that may lead to bleeding complications. It shows the client's understanding of the need to take precautions to avoid potential harm while on long-term anticoagulant therapy. The other statements do not directly address safety measures to prevent bleeding complications associated with anticoagulant therapy.

Question 5 of 5

The nurse is planning care to reduce the risk of a patient in the intensive care unit from developing acute kidney injury. Which intervention should the nurse implement for this patient?

A. Administer antihypertensive drugs B. Avoid all potentially nephrotoxic drugs C. Maintain fluid volume and cardiac output D. Assess for a history of diabetes and hypertension

Correct Answer: C

Rationale: Acute kidney injury (AKI) is a common complication in critically ill patients in the intensive care unit (ICU). One of the primary interventions to reduce the risk of AKI is to maintain adequate fluid volume and cardiac output. Adequate hydration and adequate perfusion pressure are essential for renal function. Maintaining fluid volume and adequate cardiac output ensure that the kidneys receive enough blood flow and oxygen to function optimally. Conversely, inadequate fluid volume or low cardiac output can lead to decreased renal perfusion, predisposing the patient to AKI. Monitoring and optimizing fluid status and cardiac output are crucial in preventing AKI in high-risk patients in the ICU.

Nurselytic

ATI RN

ATI RN

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